Organization
SHERBURN ECONOMIC DEVELOPMENT AUTHORITY
Active
Other names
Temperance Lake Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
410 FOX LAKE AVE, SHERBURN, MN 56171-9605
(952) 888-2923
Mailing address
410 FOX LAKE AVE, SHERBURN, MN 56171-9605
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
329269
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250473100
—
MN
01
—
329269
HWS
MN
Enumeration date
04/25/2006
Last updated
06/18/2008
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