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Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Other names
Cherrywood St Cloud 1036
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HULSEBUS (CHIEF OPERATING OFFICER)
(320) 257-7445
Entity
Organization
Contact information
Practice address
1036 VOYAGEUR ST, ST CLOUD, MN 56303
(320) 257-7445
(320) 257-7447
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
357491
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360195
HOUSING WITH SERVICES LICENSE
MN
Enumeration date
04/12/2013
Last updated
04/12/2013
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