Organization
CEDAR CREST OF HUTCHINSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON MATTHEW EWALD (BUSINESS MANAGER)
(320) 587-7077
Entity
Organization
Contact information
Practice address
225 SHADY RIDGE RD NW, HUTCHINSON, MN 55350-1407
(320) 587-7077
(320) 587-4299
Mailing address
225 SHADY RIDGE RD NW, HUTCHINSON, MN 55350-1407
(320) 587-7077
(320) 587-4299
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FBL-6056-4162
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A163317100
—
MN
Enumeration date
04/07/2009
Last updated
04/07/2009
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