Green Gables Assisted Living LLC
NPI #1740637859 in Cold Spring, Minnesota
Provider Information
- NPI Number
- 1740637859
- Entity Type
- Organization
- Organization Name
- Green Gables Assisted Living LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 18, 2016
- Last Updated
- May 18, 2016
Practice Location
- Address
- 614 EMMA DR SE
- City
- Cold Spring
- State
- Minnesota
- ZIP Code
- 56320-1454
- Phone
- (320) 348-9142
Authorized Official
- Name
- MARLENE G POLK-PEARSON, BSN
- Title
- CEO
- Phone
- (763) 229-2287
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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