Organization
MSL-MN ALF SERVICES
Active
Other names
DIAMOND WILLOW ASSISTED LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI A LUND (BILLING)
(218) 625-2319
Entity
Organization
Contact information
Practice address
2701 W SUPERIOR ST, SUITE 101, DULUTH, MN 55806-1856
(218) 625-2319
(218) 625-2338
Mailing address
2701 W SUPERIOR ST, SUITE 101, DULUTH, MN 55806-1856
(218) 625-2319
(218) 625-2338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
367057
MN
Other
Enumeration date
06/27/2014
Last updated
06/27/2014
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