Diamond Willow

LBN: Five Star Living Of Brainerd, Llc
Diamond Willow is an health care organization with primary practice located at 14396 Grand Oaks Dr , Baxter MN 56425. 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. Five Star Living Of Brainerd, Llc can be contacted via phone (218) 625-2316, or through Gevik, Lynn via phone (218) 625-2316.

Contact Information

Primary practice address
14396 Grand Oaks Dr Baxter MN 56425
Phone: (218) 625-2316
Fax: (218) 727-9559
Website:
Map and Directions
Authorized official contact:
Name: Gevik, Lynn Registered Nurse (RN)
Phone: (218) 625-2316

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 332934 Minnesota

Profile Details

NPI number 1093842247
LBN Legal business name Five Star Living Of Brainerd, Llc
DBA Doing business as Diamond Willow
Authorized official Gevik, Lynn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2007
Last updated Aug 22nd, 2020 - about 5 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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