Organization
AUTUMN WOODS III, LLC
Active
Parent organization
AUTUMN WOODS III, LLC
Other names
River Oaks Home CAre
Organization subpart
Yes
Provider details
NPI number
Legal business name
AUTUMN WOODS III, LLC
Authorized official
LESLIE RICHARD LEITH DO (CONTROLLER)
(952) 920-0400
Entity
Organization
Contact information
Practice address
910 WESTERN ST, ANOKA, MN 55303-2002
(763) 421-4011
Mailing address
4601 EXCELSIOR BLVD STE 650, ST LOUIS PARK, MN 55416-4977
(952) 697-4642
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/14/2018
Last updated
06/14/2018
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