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WILLOWS & WATERS SENIOR LIVING NPI 1104192483


NPI Information

NPI: 1104192483
Provider Name: WILLOWS & WATERS SENIOR LIVING
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 24D2033280

Address:
707 UPPER MEADOW LN NW
ROCHESTER, MN
ZIP 55901
Phone: (507) 288-0593
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WILLOWS & WATERS SENIOR LIVING is an assisted living facility in Rochester, 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. WILLOWS & WATERS SENIOR LIVING NPI is 1104192483. The provider is registered as an organization entity type.

The provider's business location address is:

707 UPPER MEADOW LN NW
ROCHESTER, MN
ZIP 55901-654
Phone: (507) 288-0593
Fax: (651) 286-3108

The provider's authorized official is April Dawn Christensen .
The authorized official title is Owner and has the following contact phone number (507) 288-0593.

The CLIA number assigned to this NPI record is 24D2033280 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/30/2012 and was last updated on 3/30/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1310400000XAssisted Living Facility354293MINNESOTAYes

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: 4/28/2024

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