Organization
FOND DU LAC RESERVATION BUSINESS COMMITTEE
Active
Parent organization
FOND DU LAC HUMAN SERVICES DIVISION
Other names
Fond du Lac Assisted Living
Organization subpart
Yes
Provider details
NPI number
Legal business name
FOND DU LAC HUMAN SERVICES DIVISION
Authorized official
MRS. MARILYN GROVER (ASSOCIATE DIRECTOR)
(218) 879-1227
Entity
Organization
Contact information
Practice address
1571 AIRPORT ROAD, FOND DU LAC ASSISTED LIVING, CLOQUET, MN 55720
(218) 879-1227
(218) 878-3755
Mailing address
927 TRETTEL LANE, FOND DU LAC HUMAN SERVICES DIVISION, CLOQUET, MN 55720
(218) 879-1227
(218) 878-3755
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
25541M
MN
310400000X
Assisted Living Facility
348710
MN
310400000X
Assisted Living Facility
Primary
349645
MN
Other
Enumeration date
02/17/2011
Last updated
03/22/2016
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