Cornerstone Residence of Bagley, INC

NPI #1942436985 in Bagley, Minnesota

Provider Information

NPI Number
1942436985
Entity Type
Organization
Organization Name
Cornerstone Residence of Bagley, INC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jun 4, 2009
Last Updated
Jun 4, 2009

Practice Location

Address
30 SUNSET AVE SW
City
Bagley
ZIP Code
56621
Phone
(218) 694-2701

Authorized Official

Name
ALLEN POTVIN
Title
OWNER/PRESIDENT
Phone
(218) 435-6205

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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