FIVE STAR LIVING OF BRAINERD LLC NPI 1093842247

NPI Information

FIVE STAR LIVING OF BRAINERD, LLC is an assisted living facility in Baxter, 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. FIVE STAR LIVING OF BRAINERD, LLC NPI is 1093842247. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Willow.

The provider's business location address is:

14396 GRAND OAKS DR
BAXTER, MN
ZIP 56425
Phone: (218) 625-2316
Fax: (218) 727-9559

The provider's authorized official is Lynn Gevik .
The authorized official title is Coo and has the following contact phone number (218) 625-2316.

The enumeration date for this NPI number is 2/27/2007 and was last updated on 8/22/2020.

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:

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