Organization
EDGEWOOD ALEXANDRIA SENIOR LIVING LLC
Active
Other names
Clearwater Suites
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP GISI (PRESIDENT/TREASURER)
(701) 757-4700
Entity
Organization
Contact information
Practice address
1902 7TH AVE E, ALEXANDRIA, MN 56308-2364
(320) 759-2121
Mailing address
2850 24TH AVE S, SUITE 200, GRAND FORKS, ND 58201-5831
(701) 738-2000
(701) 738-2001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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