Organization
GARDEN LANE ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERI LOUISE KINN (OWNER)
(218) 751-0583
Entity
Organization
Contact information
Practice address
10240 N GARDEN LN NE, BEMIDJI, MN 56601-8555
(218) 751-0583
Mailing address
9748 PONY LAKE RD NW, BEMIDJI, MN 56601-5986
(218) 751-9442
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
FBL-0018779-22147
MN
Other
Enumeration date
10/12/2006
Last updated
07/17/2008
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