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Organization
CLEARWATER SUITES, INC.
Active
Organization
CLEARWATER SUITES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN D PATOCK (CEO)
(320) 765-8841
Entity
Organization
Contact information
Practice address
1902 7TH AVE E, ALEXANDRIA, MN 56308-2364
(320) 759-2121
Mailing address
16176 810TH AVE, SACRED HEART, MN 56285-1173
(320) 765-8841
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HFID - 21247
MN
Other
Enumeration date
01/02/2007
Last updated
08/22/2020
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