Wildwood Grove in Le Roy - Assisted Living Facility
Wildwood Grove - NPI 1184833394
Wildwood Grove is a Assisted Living Facility in Le Roy, Minnesota. Wildwood Grove practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Wildwood Grove is 1184833394. The last update date is 2020-08-22.
Wildwood Grove's current location address is 410 E Main St, Le Roy, Minnesota. You can contact this provider via phone number 5073249515 and fax number 5073245355. The mailing address for Wildwood Grove is 410 E Main St, Le Roy, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wildwood Grove |
|---|---|
| Address | 410 E Main St, Le Roy, Minnesota |
| Phone Number | 5073249515 |
| Fax Number | 5073245355 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Payne A Gerald |
| Telephone Number | 5073245260 |
NPI Number Detail
| NPI Number | 1184833394 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 410 E Main St |
|---|---|
| City | Le Roy |
| State | Minnesota (MN) |
| Post Code | 559516731 |
| Phone Number | 5073249515 |
| Fax Number | 5073245355 |
Provider's Primary Taxonomy Detail
| Speciality | Assisted Living Facility |
|---|---|
| Taxonomy | 310400000X |
| Licence No | 335745 |
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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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What is the unique identification code assigned to Wildwood Grove by the Centers for Medicare & Medicaid Services?
The Wildwood Grove has been issued the NPI (National Provider Identifier) 1184833394. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Wildwood Grove is physically located?
The Wildwood Grove is situated at the following address: 410 E Main St, Le Roy, MN 559516731.
What is Wildwood Grove's area of expertise and its corresponding taxonomy classification?
The Wildwood Grove'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 Wildwood Grove's 1184833394 issued?
The Wildwood Grove's 1184833394 was issued on 2007-05-22.
When was the Wildwood Grove's information last updated?
The Wildwood Grove's information was last updated on 2020-08-22.