Organization
WOODDALE CATERED LIVING OPERATOR, LLC
Active
Other names
TowerLight
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANNIE MONE WESTALL MA (EXECUTIVE DIRECTOR)
(612) 703-8602
Entity
Organization
Contact information
Practice address
3601 WOODDALE AVE S, ST. LOUIS PARK, MN 55416-5106
(612) 703-8602
Mailing address
3601 WOODDALE AVE S, ST. LOUIS PARK, MN 55416-5106
(612) 703-8602
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
APPLIED FOR
MN
Other
Enumeration date
08/08/2012
Last updated
08/08/2012
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