Organization
ASHBY LIVING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUSAN BALA (OWNER/PRESIDENT)
(218) 790-6427
Entity
Organization
Contact information
Practice address
112 IVERSON AVENUE, ASHBY, MN 56309
(218) 747-2995
Mailing address
520 28TH ST N, MOORHEAD, MN 56560-2441
(218) 359-9999
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
354468
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2373560
HFID 26942
MN
Enumeration date
08/28/2012
Last updated
08/28/2012
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