Organization
THE WATKINS HOUSE
Active
Other names
Adam Jade Ventures, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE FRYER LALD (DIRECTOR OF OPERATIONS)
(763) 300-7875
Entity
Organization
Contact information
Practice address
341 4TH ST N, WATKINS, MN 55389-1004
(763) 300-7875
(763) 201-5991
Mailing address
PO BOX 1160, MINNETONKA, MN 55345-0160
(763) 201-5991
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A404995000
UMPI
MN
Enumeration date
05/01/2026
Last updated
05/01/2026
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