Organization
NORTHWOODS VILLA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HILLARY JOHNSON (RN/COORDINATOR)
(218) 999-4644
Entity
Organization
Contact information
Practice address
1132 GUNN RD, GRAND RAPIDS, MN 55744-7263
(218) 327-9595
Mailing address
1905 W US HIGHWAY 2, GRAND RAPIDS, MN 55744-4738
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
—
—
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/12/2018
Last updated
11/12/2018
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