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Organization

FCSL PARK RAPIDS, LLC

Active
Other names
Diamond Willow Assisted Living of Park Rapids
Organization subpart
No

Provider details

NPI number
Authorized official
NATALIE ZELEZNKIAR (OWNER)
(218) 625-8488
Entity
Organization

Contact information

Practice address
911 CROCUS HILL STREET, PARK RAPIDS, MN 56470
(218) 732-1674
Mailing address
2701 W SUPERIOR ST, SUITE 101, DULUTH, MN 55806-1856
(218) 625-8488
(218) 625-2338

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
370683
MN

Other

Enumeration date
12/05/2014
Last updated
12/05/2014
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