NPI 1003368309

Amazing Love Elderly Care Center LLC

Organisation Adult Care Home Facility Randall, MN

Practice location

Address: 7807 Emerald Rd, Randall, MN 56475-2428
Phone: (320) 749-2485
Mailing address: 31 10th St NW, Staples, MN 56479-5118

Authorised official

Name: Penny Jean Poling
Title: Owner/Partner
Phone: (218) 296-1872

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 1083851 (MN)

Other Custodial Care Facility providers in Minnesota →

Registry record

NPI: 1003368309
Entity type: Organization
NPI issued: 3 Nov 2016
Record last updated: 3 Nov 2016

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.