Organization
KI SENIOR LIVING OF PARK RAPIDS, LLC
Active
Other names
CRYSTAL BROOK SENIOR LIVING
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARNIE MARIE GUGISBERG (CFO)
(320) 763-1164
Entity
Organization
Contact information
Practice address
1006 CROCUS HILL ST E, PARK RAPIDS, MN 56470-5419
(218) 699-3605
Mailing address
420 12TH AVE E, ALEXANDRIA, MN 56308-2612
(320) 763-6653
(320) 763-7548
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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