Organization
AUTUMN WOODS III, LLC
Active
Other names
The Legacy of St. Anthony
Organization subpart
No
Provider details
NPI number
Authorized official
CAITLIN GOFF (MANAGER)
(952) 697-4681
Entity
Organization
Contact information
Practice address
2540 KENZIE TER, ST ANTHONY, MN 55418-4165
(952) 697-4681
(952) 925-5640
Mailing address
4601 EXCELSIOR BLVD, SUITE 650, MINNEAPOLIS, MN 55416-4960
(952) 697-4681
(952) 925-5640
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
374017
MN
Other
Enumeration date
06/01/2016
Last updated
06/01/2016
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