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Organization
FCSL PROCTOR, LLC
Active
Organization
FCSL PROCTOR, LLC
Active
Other names
Diamond Willow Assisted Living of Proctor
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE ZELEZNIKAR (OWNER)
(218) 625-8488
Entity
Organization
Contact information
Practice address
913 OLD HIGHWAY 2, PROCTOR, MN 55810-1750
(218) 624-9771
Mailing address
2701 W SUPERIOR ST, SUITE 101, DULUTH, MN 55806-1856
(218) 625-8488
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
370679
MN
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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