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KNUTE NELSON SENIOR LIVING CAMPUS LLC NPI 1679868947


NPI Information

NPI: 1679868947
Provider Name: KNUTE NELSON SENIOR LIVING CAMPUS, LLC

Doing Business As: GRAND ARBOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2225795

Address:
4403 PIONEER ROAD
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 763-1600
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KNUTE NELSON SENIOR LIVING CAMPUS, LLC is an assisted living facility in Alexandria, 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. KNUTE NELSON SENIOR LIVING CAMPUS, LLC NPI is 1679868947. The provider is registered as an organization entity type.
The provider Is Doing Business As Grand Arbor.

The provider's business location address is:

4403 PIONEER ROAD
ALEXANDRIA, MN
ZIP 56308
Phone: (320) 763-1600
Fax: (320) 763-7548

The provider's authorized official is Marnie Gugisberg .
The authorized official title is Cfo and has the following contact phone number (320) 763-1164.

The CLIA number assigned to this NPI record is 24D2225795 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/15/2011 and was last updated on 6/15/2011.


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 FacilityYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.