Organization
WOODBURY ASSISTED LIVING FACILITY, LLC
Active
Organization
WOODBURY ASSISTED LIVING FACILITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRISHA BELLA LEGWOLD MHA, LALD (VICE PRESIDENT OF OPERATIONS)
(612) 501-4308
Entity
Organization
Contact information
Practice address
1344 SCHOONER WAY, WOODBURY, MN 55125
(612) 501-4308
(612) 206-8080
Mailing address
1344 SCHOONER WAY, WOODBURY, MN 55125
(612) 501-4308
(612) 206-8080
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
419135
ASSISTEDLIVINGLICENSE
MN
Enumeration date
11/12/2025
Last updated
11/12/2025
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