Organization
AHR ST. CLOUD MN SH TRS SUB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABRIEL WILLHITE (EXECUTIVE VICE PRESIDENT)
(949) 270-9200
Entity
Organization
Contact information
Practice address
215 37TH AVE N, SAINT CLOUD, MN 56303-4008
(320) 230-0234
Mailing address
18191 VON KARMAN AVE STE 300, IRVINE, CA 92612-7106
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
Primary
—
—
Other
Enumeration date
03/27/2026
Last updated
03/27/2026
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