Organization · Type 2 NPI
Wildwood Grove
Assisted Living Facility · Le Roy, MN
NPI number
1184833394
Active
Practice location
410 E Main St
Le Roy, MN 55951-6731
Fax (507) 324-5355
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 335745 (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.
About NPI 1184833394
Wildwood Grove's National Provider Identifier is 1184833394, issued on May 22, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Le Roy, MN. The record was last updated on Aug 22, 2020.