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Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Other names
Cherrywood of Big Lake 177
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HULSEBUS (CHIEF FINANCIAL OFFICER)
(320) 257-7445
Entity
Organization
Contact information
Practice address
177 HENRY ROAD, BIG LAKE, MN 55309
(320) 257-7445
Mailing address
1685 4TH AVE N, SAUK RAPIDS, MN 56379-2708
(320) 257-7445
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
352583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354110
HOUSING WITH SERVICES LICENSE
MN
Enumeration date
02/09/2012
Last updated
02/09/2012
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