Organization
CORNERSTONE SENIOR LIVING, LLC
Active
Other names
Cornerstone Residence Senior Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN POTVIN (PRESIDENT/CEO)
(218) 435-6205
Entity
Organization
Contact information
Practice address
421 6TH ST NE, BAGLEY, MN 56621-8103
(218) 435-6205
Mailing address
114 2ND ST NE, FOSSTON, MN 56542-1302
(218) 435-6205
(218) 435-6336
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
381263
MN
Other
Enumeration date
12/22/2016
Last updated
04/28/2017
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