Organization · Type 2 NPI
Five Star Living LLC
Assisted Living Facility · Detroit Lakes, MN
NPI number
1902093073
Active
Practice location
1558 Randolph Rd
Detroit Lakes, MN 56501-3745
Fax (218) 625-2338
Mailing address
11 E Superior St, Suite 230
Duluth, MN 55802-2007
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 336184 (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.
Another provider at this address
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About NPI 1902093073
Five Star Living LLC's National Provider Identifier is 1902093073, issued on Oct 2, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Detroit Lakes, MN. The record was last updated on Oct 2, 2007.