Organization
FIVE STAR LIVING OF CLOQUET LLC
Active
Parent organization
FIVE STAR ASSISTED LIVING LLC
Other names
DIAMOND WILLOW ASSISTED LIVING
Organization subpart
Yes
Provider details
NPI number
Legal business name
FIVE STAR ASSISTED LIVING LLC
Authorized official
MS. LYNN GEVIK RN (COO)
(218) 625-2316
Entity
Organization
Contact information
Practice address
130 NORTH RD, CLOQUET, MN 55720-1171
(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
336184
MN
Other
Enumeration date
02/15/2008
Last updated
02/15/2008
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