Organization
FCSL PROCTOR, LLC
Active
Other names
Diamond Willow Assisted Living of Proctor
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE ZELEZNIKAR (OWNER)
(218) 625-8488
Entity
Organization
Contact information
Practice address
919 OLD HIGHWAY 2, PROCTOR, MN 55810-1750
(218) 624-5102
Mailing address
2701 W SUPERIOR ST, SUITE 101, DULUTH, MN 55806-1856
(218) 625-8488
(218) 625-2338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
370678
MN
Other
Enumeration date
12/05/2014
Last updated
12/05/2014
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