Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
DIAMOND WILLOW LIVING LLC
Active
Organization
DIAMOND WILLOW LIVING LLC
Active
Other names
Diamond Willow
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN GEVIK R.N. (COO)
(218) 625-2316
Entity
Organization
Contact information
Practice address
915 OLD HIGHWAY 2, PROCTOR, MN 55810-1750
(218) 625-2316
(218) 727-9559
Mailing address
11 E SUPERIOR ST, SUITE 508, DULUTH, MN 55802-2007
(218) 625-2316
(218) 727-9559
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
333803
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49-80621
MEDICA
MN
01
—
540106
FIRST PLAN OF MN
MN
Enumeration date
02/26/2007
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up