Organization
CITY OF WALNUT GROVE
Active
Other names
Country View
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
810 8TH ST, WALNUT GROVE, MN 56180-1147
(952) 888-2923
Mailing address
810 8TH ST, WALNUT GROVE, MN 56180-1147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
328746
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
328746
ALHCP
MN
01
—
330322
HWS
MN
05
—
951496100
—
MN
Enumeration date
04/26/2006
Last updated
06/12/2008
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