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Organization
WOODDALE CATERED LIVING OPERATOR, LLC
Active
Organization
WOODDALE CATERED LIVING OPERATOR, LLC
Active
Other names
TowerLight
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE MONE WESTALL MA (EXECUTIVE DIRECTOR)
(612) 703-8602
Entity
Organization
Contact information
Practice address
3601 WOODDALE AVE S, ST. LOUIS PARK, MN 55416-5106
(612) 703-8602
Mailing address
3601 WOODDALE AVE S, ST. LOUIS PARK, MN 55416-5106
(612) 703-8602
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
APPLIED FOR
MN
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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