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Organization
EDGEWOOD PRAIRIE CROSSINGS WATERTOWN IL LLC
Active
Organization
EDGEWOOD PRAIRIE CROSSINGS WATERTOWN IL LLC
Active
Other names
Edgewood The Commons
Organization subpart
No
Provider details
NPI number
Authorized official
REX CARLSON (TREASURER)
(701) 757-5463
Entity
Organization
Contact information
Practice address
901 14TH AVE NE, WATERTOWN, SD 57201-6817
(605) 882-3084
Mailing address
322 DEMERS AVE STE 500, GRAND FORKS, ND 58201-4799
(701) 757-5410
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/04/2015
Last updated
12/04/2015
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