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Organization
EDGEWOOD ALEXANDRIA SENIOR LIVING LLC
Active
Organization
EDGEWOOD ALEXANDRIA SENIOR LIVING LLC
Active
Other names
Clearwater Suites
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP GISI (PRESIDENT/TREASURER)
(701) 757-4700
Entity
Organization
Contact information
Practice address
1902 7TH AVE E, ALEXANDRIA, MN 56308-2364
(320) 759-2121
Mailing address
2850 24TH AVE S, SUITE 200, GRAND FORKS, ND 58201-5831
(701) 738-2000
(701) 738-2001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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