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Organization
CORNERSTONE SENIOR LIVING, LLC
Active
Organization
CORNERSTONE SENIOR LIVING, LLC
Active
Other names
Cornerstone Residence Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN POTVIN (PRESIDENT/CEO)
(218) 435-6205
Entity
Organization
Contact information
Practice address
421 6TH ST NE, BAGLEY, MN 56621-8103
(218) 435-6205
Mailing address
114 2ND ST NE, FOSSTON, MN 56542-1302
(218) 435-6205
(218) 435-6336
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
381263
MN
Other
Enumeration date
12/22/2016
Last updated
04/28/2017
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