Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Other names
Cherrywood St Cloud 1030
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY HULSEBUS (CHIEF OPERATING OFFICER)
(320) 257-7445
Entity
Organization
Contact information
Practice address
1030 VOYAGEUR ST, ST CLOUD, MN 56303
(320) 257-7445
(320) 257-7447
Mailing address
1685 4TH AVE N, SAUK RAPIDS, MN 56379-2708
(320) 257-7445
(320) 257-7447
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
357491
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
360196
HOUSING WITH SERVICES LICENSE
MN
Enumeration date
04/16/2013
Last updated
04/16/2013
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