Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Other names
Cherrywood of Richmond
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HULSEBUS (CHIEF FINANCIAL OFFICER)
(320) 257-7445
Entity
Organization
Contact information
Practice address
150 BARRY AVE NW, RICHMOND, MN 56368-4560
(320) 597-6150
(320) 597-6151
Mailing address
1685 4TH AVE N, SAUK RAPIDS, MN 56379-2708
(320) 257-7445
(320) 257-7447
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
348548
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
352583
CLASS F LICENSURE
MN
01
—
353285
HOUSING WITH SERVICES 150
MN
01
—
5352
BOARD AND LODGING LICENSE 150
MN
Enumeration date
04/20/2011
Last updated
08/18/2011
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