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Diamond Willow Living Llc
Assisted Living Facility in Proctor, Minnesota
NPI 1851427504

Diamond Willow Living Llc is an Assisted Living Facility based in Duluth, MN. Diamond Willow Living Llc practices in Proctor, MN. The NPI Number for Diamond Willow Living Llc is 1851427504 and holds a License No. 333803 (Minnesota).

The current practice location address for Diamond Willow Living Llc is 915 Old Highway 2, Proctor, MN and can be reached out via phone at 218-625-2316 and via fax at 218-727-9559.

Location: 915 Old Highway 2, Proctor, MN, 55802-2007
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851427504
Provider Name
Diamond Willow Living Llc
Credential
Provider Entity Type
Organization
Address
915 Old Highway 2, Proctor, MN, 55802-2007
Phone Number
218-625-2316
Fax Number
218-727-9559
Provider Enumeration Date
02/26/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
49-80621 01 MN MEDICA
540106 01 MN FIRST PLAN OF MN
institution
Provider Business Practice Location Address Details
Address
915 Old Highway 2
City
Proctor
State
Minnesota
Zip
55810-1750
Phone Number
218-625-2316
Fax Number
218-727-9559
person
Provider Business Mailing Address Details
Address
915 Old Highway 2
City
Proctor
State
Minnesota
Zip
55810-1750
Phone Number
218-625-2316
Fax Number
218-727-9559
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
333803 (Minnesota)
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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