Edgewood Hermantown 1 Senior Living LLC

NPI #1699189381 in Hermantown, Minnesota

Provider Information

NPI Number
1699189381
Entity Type
Organization
Organization Name
Edgewood Hermantown 1 Senior Living LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 20, 2014
Last Updated
Jun 20, 2014

Practice Location

Address
4175 WESTBERG RD
ZIP Code
55811-3916
Phone
(218) 723-8905

Authorized Official

Name
MR. RON WHETTER
Title
VP OF FINANCE/BUDGET
Phone
(701) 757-5465

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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