24D2225795 CLIA NUMBER - KNUTE NELSON SENIOR LIVING CAMPUS, LLC (DBA GRAND ARBOR)

Laboratory Demographics

CLIA Number: 24D2225795

Facility Name: KNUTE NELSON SENIOR LIVING CAMPUS, LLC (DBA GRAND ARBOR)

Facility Address:
4403 PIONEER ROAD SE
ALEXANDRIA, MN
ZIP 56308
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Facility Phone Number: 320 763-1600

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1679868947

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	24D2225795
LAB Type	Assisted Living Facility
Facility Name	KNUTE NELSON SENIOR LIVING CAMPUS, LLC (DBA GRAND ARBOR)
Street	4403 PIONEER ROAD SE
City	ALEXANDRIA
State	MN
ZIP	56308
Phone	320 763-1600
CertificateType	4
CertificateEffectiveDate	5/25/2023
CertificateExpirationDate	5/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024