Organization
HENNING ECONOMIC DEVELOPMENT AUTHORITY
Active
Other names
Willow Creek
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
500 WILLOW CREEK DR, HENNING, MN 56551-4224
(952) 888-2923
Mailing address
500 WILLOW CREEK DR, HENNING, MN 56551-4224
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
329900
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329596
HWS
MN
01
—
329900
ALHCP
MN
05
—
807035100
—
MN
Enumeration date
04/26/2006
Last updated
07/02/2008
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