Organization
PEACE VILLA INC.
Active
Other names
The Haven at Peace Village
Organization subpart
No
Provider details
NPI number
Authorized official
LAURIE HILGERS (HOUSING DIRECTOR)
(952) 467-9683
Entity
Organization
Contact information
Practice address
600 RAILROAD DR, NORWOOD YOUNG AMERICA, MN 55368-2601
(952) 467-3692
(952) 467-3156
Mailing address
600 RAILROAD DR, NORWOOD YOUNG AMERICA, MN 55368-2601
(952) 467-3692
(952) 467-3156
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
378221
MN
311500000X
Alzheimer Center (Dementia Center)
378632
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A080412300
MHCP - MINNESOTA DEPT. OF HUMAN SERVICES
MN
Enumeration date
10/17/2016
Last updated
10/17/2016
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