Organization
PHS/ COTTAGE GROVE
Active
Other names
Norris Square
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MEYER (CFO)
(651) 631-6102
Entity
Organization
Contact information
Practice address
8200 HADLEY AVE S, COTTAGE GROVE, MN 55016-2697
(651) 769-6600
Mailing address
2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
(651) 631-6432
(651) 631-6122
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
357333
MN
Other
Enumeration date
03/12/2014
Last updated
11/11/2025
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