Organization
PETERSON COLONIAL HOMES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUANE MELVIN SCHRAW (ADMINISTRATOR)
(218) 878-0642
Entity
Organization
Contact information
Practice address
4723 NYGAARD ROAD, BROOKSTON, MN 55711-0350
(218) 878-0642
(218) 878-2978
Mailing address
PO BOX 350, BROOKSTON, MN 55711-0350
(218) 878-0642
(218) 878-2978
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
0021
MN
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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