Organization
CHERRYWOOD ADVANCED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
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
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
32765
HWS LICENSE
MN
Enumeration date
04/27/2017
Last updated
04/27/2017
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