Organization
HILLCREST SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA MALONE (ADMINISTRATOR)
(218) 253-2157
Entity
Organization
Contact information
Practice address
311 BROADWAY AVE NE, RED LAKE FALLS, MN 56750
(218) 253-2157
(218) 253-4676
Mailing address
311 BROADWAY AVE NE, RED LAKE FALLS, MN 56750
(218) 253-2157
(218) 253-4676
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
340194
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
257150000
—
MN
01
—
9839HI
BCBS MN
—
Enumeration date
04/28/2008
Last updated
01/15/2009
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