Organization
SPLIT ROCK OPERATIONS
Active
Other names
Horizons Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RYAN NOVACZYK (CFO)
(612) 840-3924
Entity
Organization
Contact information
Practice address
1909 TALL PINE LN, CLOQUET, MN 55720-2826
(218) 391-9199
(218) 345-8880
Mailing address
PO BOX 224, CLOQUET, MN 55720-0224
(612) 840-3924
(866) 316-6640
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
PENDING
MN
Other
Enumeration date
09/20/2007
Last updated
09/20/2007
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