Organization
SPRING GROVE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE KIMMERLE RN, CHPN (DIRECTOR OF NURSING SERVICES)
(507) 498-4000
Entity
Organization
Contact information
Practice address
130 5TH AVE SE, SPRING GROVE, MN 55974-1324
(507) 498-4000
(507) 498-4001
Mailing address
130 5TH AVE SE, SPRING GROVE, MN 55974-1324
(507) 498-4000
(507) 498-4001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/22/2020
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