NPI 1003056706

Villa Court LLC

Organisation Assisted Living Facility Cromwell, MN

Practice location

Address: 1220 Villa Court Drive, Cromwell, MN 55726-0000
Phone: (218) 644-3331
Fax: (218) 644-3505

Authorised official

Name: Julie R Peterson
Title: Administrator
Phone: (218) 644-3331

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 343408 (MN)

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Registry record

NPI: 1003056706
Entity type: Organization
NPI issued: 20 Feb 2009
Record last updated: 20 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.