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Organization
NORTHWOODS VILLA INC. 2
Active
Organization
NORTHWOODS VILLA INC. 2
Active
Parent organization
NORTHWOODS VILLA INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWOODS VILLA INC.
Authorized official
HILLARY JOHNSON (RN/COORDINATOR)
(218) 999-4644
Entity
Organization
Contact information
Practice address
1200 GUNN RD, GRAND RAPIDS, MN 55744-9212
(218) 327-1919
Mailing address
1200 GUNN RD, GRAND RAPIDS, MN 55744-9212
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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