Organization
OWATONNA SENIOR LIVING COMMUNITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY WAKE (AUTHORIZED REPRESENTATIVE)
(303) 883-9523
Entity
Organization
Contact information
Practice address
1212 W FRONTAGE RD, OWATONNA, MN 55060-5692
(507) 451-0722
Mailing address
654 NUTLEY PL, VALLEY STREAM, NY 11581-3028
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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