Cherrywood Of Big Lake 177

LBN: Cherrywood Advanced Living, Llc
Cherrywood Of Big Lake 177 is an health care organization with primary practice located at 177 Henry Road , Big Lake MN 55309. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Cherrywood Advanced Living, Llc can be contacted via phone (320) 257-7445, or through Hulsebus, Wendy via phone (320) 257-7445.

Contact Information

Primary practice address
177 Henry Road Big Lake MN 55309
Phone: (320) 257-7445
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hulsebus, Wendy
Phone: (320) 257-7445

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 352583 Minnesota

Profile Details

NPI number 1013280882
LBN Legal business name Cherrywood Advanced Living, Llc
DBA Doing business as Cherrywood Of Big Lake 177
Authorized official Hulsebus, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Feb 9th, 2012
Last updated Feb 9th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013280882 NPPES
Minnesota Other 354110 HOUSING WITH SERVICES LICENSE

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