Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HULSEBUS (CHIEF FINANCIAL OFFICER)
(320) 257-7445
Entity
Organization
Contact information
Practice address
1889 139TH AVE NW, ANDOVER, MN 55304
(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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHERRYWOOD 1889
HOUSING WITH SERVICES MINNESOTA
—
Enumeration date
02/14/2014
Last updated
02/14/2014
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