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Organization

MILL RIDGE COMMONS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GREG CARLSON (CHIEF EXECUTIVE OFFICER)
(763) 691-6200
Entity
Organization

Contact information

Practice address
322 RIVER HILLS PL, CAMBRIDGE, MN 55008-3759
(763) 691-6200
Mailing address
322 RIVERHILLS PLACE NORTH, CAMBRIDGE, MN 55008
(763) 691-6200

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
20130
MN

Other

Enumeration date
06/27/2006
Last updated
06/18/2008
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