Diamond Willow

LBN: Five Star Living Of Little Falls, Llc
Diamond Willow is an health care organization with primary practice located at 1405 5Th Ave Ne , Little Falls MN 56345-2555. 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 Little Falls, Llc can be contacted via phone (218) 625-2319, or through Gevik, Lynn via phone (218) 625-2319.

Contact Information

Primary practice address
1405 5Th Ave Ne Little Falls MN 56345-2555
Phone: (218) 625-2319
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gevik, Lynn Registered Nurse (RN)
Phone: (218) 625-2319

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 339086 Minnesota

Profile Details

NPI number 1063670891
LBN Legal business name Five Star Living Of Little Falls, Llc
DBA Doing business as Diamond Willow
Authorized official Gevik, Lynn Registered Nurse (RN)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2008
Last updated May 29th, 2008 - about 16 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 1063670891 NPPES
Minnesota Other 180623000 STATE OF MN PROVIDER #
Minnesota Other 887452000 STATE OF MN PROVIDER #

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