Organization
NORTH BRANCH GW, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA SCHILLINGER (BUSINESS MANAGER)
(651) 287-0265
Entity
Organization
Contact information
Practice address
720 MAIN ST, SUITE 205, MENDOTA HEIGHTS, MN 55118-3757
(651) 287-0265
Mailing address
720 MAIN ST, SUITE 205, MENDOTA HEIGHTS, MN 55118-3757
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
05/11/2012
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