# GARDEN TERRACE ASSISTED LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** garden terrace home care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720513021
- **Authorized official:** MR. MICHAEL STANLEY PODGORNIK (PRESIDENT)
- **Authorized official phone:** (218) 348-7588

## Contact information

- **Practice address:** 426 MASON DR, WRENSHALL, MN 55797-9030
- **Practice address phone:** (218) 348-7588
- **Mailing address:** 5401 SAMUELSON RD, DULUTH, MN 55811-9710
- **Mailing address phone:** (218) 348-7588

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | MN | Yes |

## Other

- **Enumeration date:** 04/24/2017
- **Last updated:** 04/24/2017