Organization
ST. WILLIAM'S LIVING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM RAY KELLY (ADMINISTRATOR)
(218) 338-1001
Entity
Organization
Contact information
Practice address
500 WILLOW CREEK DR, HENNING, MN 56551-4224
(218) 548-6683
Mailing address
212 W SOO ST, PARKERS PRAIRIE, MN 56361-4404
(218) 338-4671
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/22/2024
Last updated
04/22/2024
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