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Organization

EVANSVILLE CARE CAMPUS LLC

Active
Other names
EVANSVILLE SENIOR LIVING
Organization subpart
No

Provider details

NPI number
Authorized official
MR. SHAWN B JOHNSON (PRESIDENT/OWNER)
(320) 760-3236
Entity
Organization

Contact information

Practice address
649 STATE ST NW, EVANSVILLE, MN 56326-8124
(218) 948-2219
Mailing address
649 STATE ST NW, EVANSVILLE, MN 56326-8124
(218) 948-2219

Taxonomy

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

Other

Enumeration date
09/09/2009
Last updated
06/06/2025
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