Organization
EDGEWOOD SARTELL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REX CARLSON (CFO)
(701) 757-5412
Entity
Organization
Contact information
Practice address
322 DEMERS AVE, SUITE 500, GRAND FORKS, ND 58201-4754
(701) 757-5412
Mailing address
677 BRIANNA DR, SARTELL, MN 56377-4752
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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