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Organization
CANNON FALLS AL OPERATIONS LLC
Active
Organization
CANNON FALLS AL OPERATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA D RICE (CHIEF REVENUE OFFICER)
(847) 712-8901
Entity
Organization
Contact information
Practice address
900 MAIN ST W, CANNON FALLS, MN 55009-1852
(507) 263-6062
Mailing address
8170 MCCORMICK BLVD STE 112, SKOKIE, IL 60076-2914
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/05/2022
Last updated
12/04/2023
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