Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Parent organization
CHERRYWOOD ADVANCED LIVING, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHERRYWOOD ADVANCED LIVING, LLC
Authorized official
WENDY HULSEBUS (ADMINISTRATOR)
(320) 257-7445
Entity
Organization
Contact information
Practice address
1637 4TH AVE N, SAUK RAPIDS, MN 56379-4596
(320) 257-7445
Mailing address
1637 4TH AVE N, SAUK RAPIDS, MN 56379-4596
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
352583
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
353280
HOUSING WITH SERVICES MDH
MN
01
—
376870
COMPREHENSIVE HOME CARE
MN
Enumeration date
08/18/2011
Last updated
04/24/2017
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