Stonehaven Assisted Living Inc.

NPI #1790060838 in Brookston, Minnesota

Provider Information

NPI Number: 1790060838
Entity Type: Organization
Organization Name: Stonehaven Assisted Living Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: STONEHAVEN ASSISTED LIVING INC.
Primary Specialty: Assisted Living Facility
Enumeration Date: Oct 20, 2011
Last Updated: Oct 20, 2011

Practice Location

Address: 8783 2ND STREET SOUTH
City: Brookston
State: Minnesota
ZIP Code: 55711-0284
Phone: (218) 453-5062

Authorized Official

Name: MRS. JENNIFER RENEE JOHNSON
Title: PRESIDENT/OWNER
Phone: (218) 453-5062

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nursing Facility/Intermediate Care Facility	313M00000X
Assisted Living Facility	310400000X	Primary

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