Organization
AUTUMN GLEN SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN NEFF (CHIEF OPERATIONS OFFICER)
(763) 241-4428
Entity
Organization
Contact information
Practice address
3715 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2777
(763) 772-4492
(763) 746-4080
Mailing address
3715 COON RAPIDS BLVD NW, COON RAPIDS, MN 55433-2777
(763) 772-4492
(763) 746-4080
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
372324
MN
Other
Enumeration date
12/26/2015
Last updated
12/26/2015
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