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Organization
LILAC HOMES CORPORATION
Active
Organization
LILAC HOMES CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM NELSON (PRESIDENT)
(218) 443-2426
Entity
Organization
Contact information
Practice address
2615 PARKVIEW DR, MOORHEAD, MN 56560
(218) 443-2426
Mailing address
24806 LABRADOR BCH, PELICAN RAPIDS, MN 56572-7178
(218) 443-2426
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/11/2012
Last updated
10/13/2012
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