Organization
COMMUNITY ASSET FOUNDATION, LLC
Active
Other names
The Lodge of Mountain Lake
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID C POKORNEY (TREASURER)
(612) 703-5709
Entity
Organization
Contact information
Practice address
603 7TH AVE, MOUNTAIN LAKE, MN 56159-1333
(507) 427-2465
Mailing address
745 BASINGER MEMORIAL DR, MOUNTAIN LAKE, MN 56159-1312
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
29275
MN
Other
Enumeration date
03/13/2013
Last updated
04/13/2022
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