Organization
GARDEN TERRACE ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL STANLEY PODGORNIK (PRESIDENT)
(218) 348-7588
Entity
Organization
Contact information
Practice address
426 MASON DR, WRENSHALL, MN 55797-9030
(218) 348-7588
Mailing address
5401 SAMUELSON RD, DULUTH, MN 55811-9710
(218) 348-7588
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
01/18/2017
Last updated
01/18/2017
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