Organization
GREEN GABLES ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLENE G POLK-PEARSON BSN (CEO)
(763) 229-2287
Entity
Organization
Contact information
Practice address
614 EMMA DR SE, COLD SPRING, MN 56320-1454
(320) 348-9142
(320) 686-0231
Mailing address
614 EMMA DR SE, COLD SPRING, MN 56320-1454
(320) 348-9142
(320) 686-0231
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HFID - 32338
MN
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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