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Organization
WALNUT GROVE HOME
Active
Organization
WALNUT GROVE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JINYI SLAGLE WU (PRESIDENT)
(320) 223-9249
Entity
Organization
Contact information
Practice address
13708 PORTLAND AVE, BURNSVILLE, MN 55337-4128
(320) 223-9249
Mailing address
6601 ZIRCON LN N, MAPLE GROVE, MN 55311-1371
(320) 223-9249
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/12/2023
Last updated
09/12/2023
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