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Organization

SUITE LIVING SENIOR CARE OF FOREST LAKE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AUDREY MCELWAIN (DIRECTOR OF OPERATIONS)
(651) 770-2273
Entity
Organization

Contact information

Practice address
19839 HEADWATERS BLVD NORTH, FOREST LAKE, MN 55025
(651) 770-2273
(651) 666-1975
Mailing address
19839 HEADWATERS BLVD NORTH, FOREST LAKE, MN 55025
(651) 770-2273
(651) 666-1975

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
12/06/2022
Last updated
12/06/2022
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