DIAMOND WILLOW LIVING LLC NPI 1851427504

NPI Information

  • NPI: 1851427504
  • Provider Name: DIAMOND WILLOW LIVING LLC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: DIAMOND WILLOW
  • Address: 915 OLD HIGHWAY 2
    PROCTOR, MN
    ZIP 55810
  • Phone: (218) 625-2316

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NPI Details

DIAMOND WILLOW LIVING LLC is an assisted living facility in Proctor, 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. DIAMOND WILLOW LIVING LLC NPI is 1851427504. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Willow.

The provider's business location address is:

915 OLD HIGHWAY 2
PROCTOR, MN
ZIP 55810-750
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 2/26/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living Facility333803MINNESOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1540106OTHERMINNESOTAFIRST PLAN OF MN
249-80621OTHERMINNESOTAMEDICA

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: 11/21/2025

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