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FCSL PROCTOR LLC NPI 1598162646


NPI Information

NPI: 1598162646
Provider Name: FCSL PROCTOR, LLC

Doing Business As: DIAMOND WILLOW ASSISTED LIVING OF PROCTOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
923 OLD HIGHWAY 2
PROCTOR, MN
ZIP 55810
Phone: (218) 624-0363
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FCSL PROCTOR, LLC is an assisted living facility in Proctor, MN. The provider is 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. FCSL PROCTOR, LLC NPI is 1598162646. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Willow Assisted Living Of Proctor.

The provider's business location address is:

923 OLD HIGHWAY 2
PROCTOR, MN
ZIP 55810-750
Phone: (218) 624-0363

The provider's authorized official is Natalie Zeleznikar .
The authorized official title is Owner and has the following contact phone number (218) 625-8488.

The enumeration date for this NPI number is 12/4/2014 and was last updated on 12/4/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility370681MINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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