Organization
NEW WESTERN MANOR COMPANY LIMITED PARTNERSHIP
Active
Other names
Autumn Glen Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A WEICHERT (DIRECTOR OF GENERAL PARTNER)
(952) 361-8000
Entity
Organization
Contact information
Practice address
3715 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433
(763) 772-4492
Mailing address
1107 HAZELTINE BLVD STE 200, CHASKA, MN 55318-1070
(612) 618-1682
(952) 361-8060
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
381474
MN
Other
Enumeration date
04/10/2018
Last updated
06/19/2018
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