Organization · Type 2 NPI

Fond Du Lac Reservation Business Committee

Assisted Living Facility · Cloquet, MN

NPI number 1134426778 Active

Practice location

1571 Airport Road, Fond Du Lac Assisted Living
Cloquet, MN 55720

Call (218) 879-1227 Map

Fax (218) 878-3755

Mailing address

927 Trettel Lane, Fond Du Lac Human Services Division
Cloquet, MN 55720

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	349645 (MN)
Assisted Living Facility	310400000X	348710 (MN)
Assisted Living Facility	310400000X	25541M (MN)

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.

Other assisted living facility providers in Cloquet

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NPI record

NPI: 1134426778
Entity type: Organization (Type 2)
Issued: Feb 17, 2011
Last updated: Mar 22, 2016
Status: Active
Subpart: Yes of Fond Du Lac Human Services Division

Other names

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Fond Du Lac Assisted Living · doing business as

Authorized official

Mrs. Marilyn Grover
Associate Director
(218) 879-1227

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About NPI 1134426778

Fond Du Lac Reservation Business Committee's National Provider Identifier is 1134426778, issued on Feb 17, 2011. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Cloquet, MN. The record was last updated on Mar 22, 2016.