Clearwater Suites, INC.
Assisted Living Facility in Alexandria, MN. Organization (NPI-2).
NPI number1992862650
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1992862650
- Entity type
- Organization (NPI-2)
- Legal business name
- Clearwater Suites, INC.
- Organization subpart
- No
- Enumeration date
- Jan 2, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | HFID - 21247 | MN | Yes |
Practice location
1902 7th Ave EAlexandria, MN 56308-2364
Phone 320-759-2121
Mailing address
16176 810th AveSacred Heart, MN 56285-1173
Phone 320-765-8841
Authorized official
John D Patock
Ceo
3207658841
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