Diamond Willow Living Llc in Duluth - Assisted Living Facility
Diamond Willow Living Llc - NPI 1851427504
Diamond Willow Living Llc is a Assisted Living Facility in Duluth, Minnesota. Diamond Willow Living Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Diamond Willow Living Llc is 1851427504. The last update date is 2020-08-22.
Diamond Willow Living Llc's current location address is 11 E Superior St, Duluth, Minnesota. You can contact this provider via phone number 2186252316 and fax number 2187279559. The mailing address for Diamond Willow Living Llc is 11 E Superior St, Duluth, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Diamond Willow Living Llc |
|---|---|
| Address | 11 E Superior St, Duluth, Minnesota |
| Phone Number | 2186252316 |
| Fax Number | 2187279559 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Gevik Lynn |
| Credentials | R.N. |
| Telephone Number | 2186252316 |
NPI Number Detail
| NPI Number | 1851427504 |
|---|---|
| Provider Enumeration Date | 2007-02-26 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 11 E Superior St |
|---|---|
| City | Duluth |
| State | Minnesota (MN) |
| Post Code | 558022007 |
| Phone Number | 2186252316 |
| Fax Number | 2187279559 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 333803 |
|
Definition: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 49-80621 | MN | MEDICA | |
| 540106 | MN | FIRST PLAN OF MN |
Post Comment/ Review Below
What is the unique identifier code issued to Diamond Willow Living Llc by the Centers for Medicare & Medicaid Services?
The Diamond Willow Living Llc has been assigned the NPI (National Provider Identifier) 1851427504. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Diamond Willow Living Llc's facilities are situated?
The facilities of Diamond Willow Living Llc are physically located at the following address: 11 E Superior St, Duluth, MN, 558022007.
What is Diamond Willow Living Llc's area of expertise and its corresponding taxonomy classification?
The Diamond Willow Living Llc's field of specialization is Assisted Living Facility, and it falls under the taxonomy code 310400000X, which categorizes healthcare providers based on their areas of practice.
When was the Diamond Willow Living Llc's 1851427504 issued?
The Diamond Willow Living Llc's 1851427504 was issued on 2007-02-26.
As of what date was the information pertaining to Diamond Willow Living Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Diamond Willow Living Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.