Organization
STONEHAVEN ASSISTED LIVING INC.
Active
Parent organization
STONEHAVEN ASSISTED LIVING INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
STONEHAVEN ASSISTED LIVING INC.
Authorized official
MRS. JENNIFER RENEE JOHNSON (PRESIDENT/OWNER)
(218) 453-5062
Entity
Organization
Contact information
Practice address
8783 2ND STREET SOUTH, BROOKSTON, MN 55711-0284
(218) 453-5062
(218) 453-5064
Mailing address
8783 2ND STREET SOUTH, BROOKSTON, MN 55711-0284
(218) 453-5062
(218) 453-5064
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
354457
MN
313M00000X
Nursing Facility/Intermediate Care Facility
35448
MN
Other
Enumeration date
10/20/2011
Last updated
10/20/2011
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