Edgewood Baxter LLC

NPI #1881141828 in Baxter, Minnesota

Provider Information

NPI Number
1881141828
Entity Type
Organization
Organization Name
Edgewood Baxter LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 7, 2016
Last Updated
Sep 7, 2016

Practice Location

Address
14211 FIREWOOD DR
City
Baxter
ZIP Code
56425-8567
Phone
(701) 757-5465

Authorized Official

Name
REX CARLSON
Title
CFO
Phone
(701) 757-5465

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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