Organization · Type 2 NPI

Edgewood Hermantown 1 Senior Living LLC

Assisted Living Facility · Hermantown, MN

NPI number 1699189381 Active

Practice location

4175 Westberg Rd
Hermantown, MN 55811-3916

Call (218) 723-8905 Map

Fax (218) 723-4051

Mailing address

322 Demers Ave, Suite 500
Grand Forks, ND 58201-4754

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000X363096 (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.

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About NPI 1699189381

Edgewood Hermantown 1 Senior Living LLC's National Provider Identifier is 1699189381, issued on Jun 20, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Hermantown, MN. The record was last updated on Jun 20, 2014.