Diamond Willow

LBN: Five Star Living Of Grand Rapids, Llc
Diamond Willow is an health care organization with primary practice located at 949 Sw 11Th Avenue , Grand Rapids MN 55744. 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 Grand Rapids, Llc can be contacted via phone (218) 625-2316, or through Gevik, Lynn via phone (218) 625-2316.

Contact Information

Primary practice address
949 Sw 11Th Avenue Grand Rapids MN 55744
Fax: (218) 625-2338
Website:
Authorized official contact:
Name: Gevik, Lynn Registered Nurse (RN)

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 334819 Minnesota

Profile Details

NPI number 1356564389
LBN Legal business name Five Star Living Of Grand Rapids, Llc
DBA Doing business as Diamond Willow
Authorized official Gevik, Lynn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Aug 22nd, 2020 - about 4 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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