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Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Other names
Cherrywood of Big Lake 171
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HULSEBUS (CHIEF FINANCIAL OFFICER)
(320) 257-7445
Entity
Organization
Contact information
Practice address
171 HENRY ROAD, BIG LAKE, MN 55309
(320) 257-7445
Mailing address
1685 4TH AVE N, SAUK RAPIDS, MN 56379-2708
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
352583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354111
HOUSING WITH SERVICES LICENSURE
MN
Enumeration date
02/09/2012
Last updated
02/09/2012
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