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Organization

FIVE STAR LIVING OF PARK RAPIDS, LLC

Active
Parent organization
FIVE STAR LIVING, LLC
Other names
DIAMOND WILLOW ASSISTED LIVING
Organization subpart
Yes

Provider details

NPI number
Legal business name
FIVE STAR LIVING, LLC
Authorized official
LYNN GEVIK RN (COO)
(218) 625-2316
Entity
Organization

Contact information

Practice address
911 CROCUS HILL STREET, BIRCH PARK SUITES, PARK RAPIDS, MN 56470
(218) 625-2316
(218) 625-2338
Mailing address
11 E SUPERIOR ST, SUITE 230, DULUTH, MN 55802-2007
(218) 625-2316
(218) 625-2338

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
336724
MN

Other

Enumeration date
11/28/2007
Last updated
11/28/2007
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