Edgewood Hermantown Ii Senior Living Llc in Grand Forks - Assisted Living Facility

Edgewood Hermantown Ii Senior Living Llc - NPI 1083898860

Edgewood Hermantown Ii Senior Living Llc is a Assisted Living Facility in Grand Forks, North Dakota. Edgewood Hermantown Ii Senior Living Llc practices all healthcare services and medical treatments related to Assisted Living Facility. The NPI Number for Edgewood Hermantown Ii Senior Living Llc is 1083898860. The last update date is 2011-05-26.

Edgewood Hermantown Ii Senior Living Llc's current location address is 2850 24th Ave S, Grand Forks, North Dakota. You can contact this provider via phone number 7017382000 and fax number 7017382001. The mailing address for Edgewood Hermantown Ii Senior Living Llc is 2850 24th Ave S, Grand Forks, North Dakota. To know further, please read the information below!

Provider Profile Detail

Provider Organization Edgewood Hermantown Ii Senior Living Llc
Address 2850 24th Ave S, Grand Forks, North Dakota
Phone Number 7017382000
Fax Number 7017382001
Sole Proprietor --
Credentials --

Authorized Official

Title or Position VP BUDGET
Authorized Official Name Whetter Ron
Telephone Number 7017382000

NPI Number Detail

NPI Number 1083898860
Provider Enumeration Date 2007-12-28
Last Updated Date 2011-05-26

Provider Mailing Address Detail

Address 2850 24th Ave S
City Grand Forks
State North Dakota (ND)
Post Code 582015831
Phone Number 7017382000
Fax Number 7017382001

Provider's Primary Taxonomy Detail

Speciality Assisted Living Facility
Taxonomy 310400000X
Licence No 338365
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
338365 MN --

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FAQs about Edgewood Hermantown Ii Senior Living Llc

What is the unique identifier code issued to Edgewood Hermantown Ii Senior Living Llc by the Centers for Medicare & Medicaid Services (CMS)?

The Edgewood Hermantown Ii Senior Living Llc has been assigned the NPI (National Provider Identifier) 1083898860. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Where is the Edgewood Hermantown Ii Senior Living Llc located?

The Edgewood Hermantown Ii Senior Living Llc is located at 2850 24Th Ave S, Grand Forks, ND 582015831.

What is Edgewood Hermantown Ii Senior Living Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Edgewood Hermantown Ii Senior Living Llc's specialized field of practice is Assisted Living Facility, and the corresponding taxonomy code that categorizes this area of specialization is 310400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083898860 to Edgewood Hermantown Ii Senior Living Llc?

The Centers for Medicare & Medicaid Services originally issued the 1083898860 to Edgewood Hermantown Ii Senior Living Llc on 2007-12-28.

When was the information regarding Edgewood Hermantown Ii Senior Living Llc most recently updated?

The details pertaining to the Edgewood Hermantown Ii Senior Living Llc, including its address, specialty, and other relevant information, were last refreshed on 2011-05-26.

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