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Organization
BONNIE'S SENIOR HAVEN
Active
Organization
BONNIE'S SENIOR HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONITA MARIE NIENABER (OWNER)
(320) 759-6599
Entity
Organization
Contact information
Practice address
1201 RIDGEVIEW TER NE, 1201 RIDGEVIEW TERRACE NE, ALEXANDRIA, MN 56308-8684
(320) 759-6599
(320) 759-6599
Mailing address
1201 RIDGEVIEW TER NE, 1201 RIDGEVIEW TERRACE NE, ALEXANDRIA, MN 56308-8684
(320) 759-6599
(320) 759-6599
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
10183963AFC
MN
Other
Enumeration date
10/12/2006
Last updated
08/07/2008
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