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Organization
NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP
Active
Organization
NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP
Active
Other names
Autumn Glen Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A WEICHERT (DIRECTOR OF GENERAL PARTNER)
(952) 361-8000
Entity
Organization
Contact information
Practice address
3715 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433
(763) 772-4492
Mailing address
1107 HAZELTINE BLVD STE 200, CHASKA, MN 55318-1070
(612) 618-1682
(952) 361-8060
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
381474
MN
Other
Enumeration date
04/10/2018
Last updated
06/19/2018
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