Organization
NORTHWOODS VILLA INC.
Active
Parent organization
NORTHWOODS VILLA INC.
Other names
Northwoods Villa Inc. 3
Organization subpart
Yes
Provider details
NPI number
Legal business name
NORTHWOODS VILLA INC.
Authorized official
HILLARY JOHNSON (RN/OWNER/ADMINISTRATOR)
(218) 244-8731
Entity
Organization
Contact information
Practice address
1905 W US HIGHWAY 2, GRAND RAPIDS, MN 55744-4738
(218) 999-4644
(218) 999-0100
Mailing address
1905 W US HIGHWAY 2, GRAND RAPIDS, MN 55744-4738
(218) 999-4644
(218) 999-0100
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/04/2019
Last updated
12/04/2019
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