Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Other names
Cherrywood of Big Lake 171
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HULSEBUS (CHIEF FINANCIAL OFFICER)
(320) 257-7445
Entity
Organization
Contact information
Practice address
171 HENRY ROAD, BIG LAKE, MN 55309
(320) 257-7445
Mailing address
1685 4TH AVE N, SAUK RAPIDS, MN 56379-2708
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
352583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
354111
HOUSING WITH SERVICES LICENSURE
MN
Enumeration date
02/09/2012
Last updated
02/09/2012
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