Organization
ECUMEN
Active
Other names
Countryside Catered Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS HARRISON (CFO)
(651) 766-4300
Entity
Organization
Contact information
Practice address
650 EL DORADO ST, OWATONNA, MN 55060
(507) 446-8334
Mailing address
3530 LEXINGTON AVE N, SHOREVIEW, MN 55126-8166
(651) 766-4300
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
334372
MN
311500000X
Alzheimer Center (Dementia Center)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42402000
—
MN
Enumeration date
05/15/2007
Last updated
04/22/2026
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