Organization
FAIRWAY VIEW SENIOR COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE DYBDAHL (HOUSING MANAGER)
(320) 839-2397
Entity
Organization
Contact information
Practice address
215 LUNDELL AVENUE, ORTONVILLE, MN 56278
(320) 839-2397
(320) 839-2398
Mailing address
215 LUNDELL AVENUE, ORTONVILLE, MN 56278
(320) 839-2397
(320) 839-2398
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
331965
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050606005
PRIMEWEST
MN
05
—
861473300
—
MN
Enumeration date
03/16/2007
Last updated
06/25/2008
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