Organization · Type 2 NPI
Whitewater Retirement Opco LLC
Assisted Living Facility · St. Charles, MN
NPI number
1003761404
Active
Practice location
402 W 4th St
St. Charles, MN 55972-2123
Mailing address
3520 E River Rd NE
Rochester, MN 55906-5407
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
About NPI 1003761404
Whitewater Retirement Opco LLC's National Provider Identifier is 1003761404, issued on Mar 2, 2026. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Charles, MN. The record was last updated on Mar 2, 2026.