Organization
SOPHIES MANOR ASSISTED LIVING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA JO HOLT (ADMINISTRATOR)
(320) 629-2064
Entity
Organization
Contact information
Practice address
17500 RANCH DR, PINE CITY, MN 55063-5502
(320) 629-2064
(320) 629-4918
Mailing address
17500 RANCH DR, PINE CITY, MN 55063-5502
(320) 629-2064
(320) 629-4918
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
334231
MN
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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