Organization
KC COMPANIES OF CROSSLAKE, INC.
Active
Other names
Golden Horizons of Crosslake
Organization subpart
No
Provider details
NPI number
Authorized official
BERNICE R PHELPS (ACCOUNTING DEPARTMENT)
(320) 217-2640
Entity
Organization
Contact information
Practice address
13631 E SHORE RD, CROSSLAKE, MN 56442
(218) 692-6650
(218) 692-6652
Mailing address
13631 E SHORE RD, CROSSLAKE, MN 56442-2767
(218) 692-6650
(218) 629-6652
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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