Organization
FCSL GRAND RAPIDS, LLC
Active
Other names
Diamond Willow Assisted Living of Grand Rapids
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE ZELEZNKIAK (OWNER)
(218) 625-8488
Entity
Organization
Contact information
Practice address
949 1/2 SW 11TH STREET, GRAND RAPIDS, MN 55744
(218) 327-9460
Mailing address
2701 W SUPERIOR ST, SUITE 101, DULUTH, MN 55806-1856
(218) 625-8488
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
370702
MN
Other
Enumeration date
12/04/2014
Last updated
12/04/2014
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