Organization
TRILLIUM WOODS LLC
Active
Other names
The Birches at Trillium Woods
Organization subpart
No
Provider details
NPI number
Authorized official
DIANE C BRIDGEWATER (EXECUTIVE VICE PRESIDENT)
(515) 875-4500
Entity
Organization
Contact information
Practice address
14585 59TH AVE N, PLYMOUTH, MN 55446-3872
(763) 519-1350
(763) 559-1799
Mailing address
14585 59TH AVE N, PLYMOUTH, MN 55446-3872
(763) 519-1350
(763) 559-1799
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
373092
MN
Other
Enumeration date
06/27/2015
Last updated
01/20/2022
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