North Branch Gw, LLC
NPI #1295094191 in Mendota Heights, Minnesota
Provider Information
- NPI Number
- 1295094191
- Entity Type
- Organization
- Organization Name
- North Branch Gw, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 11, 2012
- Last Updated
- May 11, 2012
Practice Location
- Address
- 720 MAIN ST
- Address 2
- SUITE 205
- City
- Mendota Heights
- State
- Minnesota
- ZIP Code
- 55118-3757
- Phone
- (651) 287-0265
Authorized Official
- Name
- RHONDA SCHILLINGER
- Title
- BUSINESS MANAGER
- Phone
- (651) 287-0265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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