Organization
FIVE STAR LIVING OF LITTLE FALLS, LLC
Active
Other names
Diamond Willow
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN GEVIK R.N. (COO)
(218) 625-2319
Entity
Organization
Contact information
Practice address
1405 5TH AVE NE, LITTLE FALLS, MN 56345-2555
(218) 625-2319
Mailing address
11 E SUPERIOR ST, SUITE 230, DULUTH, MN 55802-2007
(218) 625-2319
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
339086
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
180623000
STATE OF MN PROVIDER #
MN
01
—
887452000
STATE OF MINNESOTA PROVIDER #
MN
Enumeration date
05/29/2008
Last updated
05/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us