NPI 1013280882

Cherrywood Advanced Living, LLC

Organisation Assisted Living Facility Big Lake, MN

Practice location

Address: 177 Henry Road, Big Lake, MN 55309
Phone: (320) 257-7445
Mailing address: 1685 4th Ave N, Sauk Rapids, MN 56379-2708

Authorised official

Name: Wendy Hulsebus
Title: Chief Financial Officer
Phone: (320) 257-7445

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 352583 (MN)

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Registry record

NPI: 1013280882
Entity type: Organization
NPI issued: 9 Feb 2012
Record last updated: 9 Feb 2012

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.