FCSL CLOQUET LLC NPI 1639577729

NPI Information

  • NPI: 1639577729
  • Provider Name: FCSL CLOQUET, LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: DIAMOND WILLOW ASSISTED LIVING OF CLOQUET
  • Address: 130 W NORTH ROAD
    CLOQUET, MN
    ZIP 55720
  • Phone: (218) 878-1972

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NPI Details

FCSL CLOQUET, LLC is an assisted living facility in Cloquet, 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 CLOQUET, LLC NPI is 1639577729. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Willow Assisted Living Of Cloquet.

The provider's business location address is:

130 W NORTH ROAD
CLOQUET, MN
ZIP 55720
Phone: (218) 878-1972

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 12/5/2014 and was last updated on 12/5/2014.

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 Facility370706MINNESOTAYes

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: 3/30/2025

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