Edgebrook Estates Assisted Living

NPI #1548588957 in Edgerton, Minnesota

Provider Information

NPI Number
1548588957
Entity Type
Organization
Organization Name
Edgebrook Estates Assisted Living
Subpart
Yes (part of a larger organization)
Parent Organization
EDGEBROOK CARE CENTER
Primary Specialty
Assisted Living Facility
Enumeration Date
May 10, 2010
Last Updated
May 10, 2010

Practice Location

Address
301 5TH AVE N
ZIP Code
56128-1298
Phone
(507) 442-5080

Authorized Official

Name
MR. PHILIP SAMUELSON
Title
ADMINISTRATOR
Phone
(507) 442-7121

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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