Cherrywood St Cloud 1030

LBN: Cherrywood Advanced Living, Llc
Cherrywood St Cloud 1030 is an health care organization with primary practice located at 1030 Voyageur St , St Cloud MN 56303. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Cherrywood Advanced Living, Llc can be contacted via phone (320) 257-7445, or through Hulsebus, Wendy via phone (320) 257-7445.

Contact Information

Primary practice address
1030 Voyageur St St Cloud MN 56303
Phone: (320) 257-7445
Fax: (320) 257-7447
Website:
Map and Directions
Authorized official contact:
Name: Hulsebus, Wendy
Phone: (320) 257-7445

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 357491 Minnesota

Profile Details

NPI number 1790128049
LBN Legal business name Cherrywood Advanced Living, Llc
DBA Doing business as Cherrywood St Cloud 1030
Authorized official Hulsebus, Wendy
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2013
Last updated Apr 16th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790128049 NPPES
Minnesota Other 360196 HOUSING WITH SERVICES LICENSE

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