Organization · Type 2 NPI

Edgewood Hermantown I Senior Living LLC

Assisted Living Facility · Hermantown, MN

NPI number 1609050442 Active

Practice location

4195 Westberg Rd
Hermantown, MN 55811-3916

Fax (701) 738-2001

Mailing address

2850 24th Ave S, Suite 201
Grand Forks, ND 58201-5831

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X338403 (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.

12 other providers at this address

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About NPI 1609050442

Edgewood Hermantown I Senior Living LLC's National Provider Identifier is 1609050442, issued on Dec 27, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Hermantown, MN. The record was last updated on May 26, 2011.