Organization
AGATE BAY ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELISHA JOHNSON (CFO)
(218) 391-4443
Entity
Organization
Contact information
Practice address
414 1ST AVE, TWO HARBORS, MN 55616-1614
(218) 834-4015
Mailing address
414 1ST AVE, TWO HARBORS, MN 55616-1614
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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