Agate Bay Assisted Living LLC
NPI #1205426939 in Two Harbors, Minnesota
Provider Information
- NPI Number
- 1205426939
- Entity Type
- Organization
- Organization Name
- Agate Bay Assisted Living LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jan 26, 2021
- Last Updated
- Jan 26, 2021
Practice Location
- Address
- 414 1ST AVE
- City
- Two Harbors
- State
- Minnesota
- ZIP Code
- 55616-1614
- Phone
- (218) 834-4015
Authorized Official
- Name
- FELISHA JOHNSON
- Title
- CFO
- Phone
- (218) 391-4443
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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