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Organization
AUTUMN WOODS III, LLC
Active
Organization
AUTUMN WOODS III, LLC
Active
Other names
The Legacy of St. Anthony
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN GOFF (MANAGER)
(952) 697-4681
Entity
Organization
Contact information
Practice address
2540 KENZIE TER, ST ANTHONY, MN 55418-4165
(952) 697-4681
(952) 925-5640
Mailing address
4601 EXCELSIOR BLVD, SUITE 650, MINNEAPOLIS, MN 55416-4960
(952) 697-4681
(952) 925-5640
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
374017
MN
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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