BENEDICTINE LIVING COMMUNITY OF MORA NPI 1891179271

NPI Information

  • NPI: 1891179271
  • Provider Name: BENEDICTINE LIVING COMMUNITY OF MORA
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: EASTWOOD SENIOR LIVING
  • CLIA Number: 24D2099517
  • Address: 170 VALHALLA CIR
    MORA, MN
    ZIP 55051
  • Phone: (320) 679-4789

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NPI Details

BENEDICTINE LIVING COMMUNITY OF MORA is an assisted living facility in Mora, 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. BENEDICTINE LIVING COMMUNITY OF MORA NPI is 1891179271. The provider is registered as an organization entity type.
The provider Is Doing Business As Eastwood Senior Living.

The provider's business location address is:

170 VALHALLA CIR
MORA, MN
ZIP 55051-905
Phone: (320) 679-4789

The provider's authorized official is Jack L'heureux .
The authorized official title is Administrator/ceo and has the following contact phone number (320) 679-8312.

The CLIA number assigned to this NPI record is 24D2099517 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/15/2015 and was last updated on 7/15/2015.

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 Facility371951MINNESOTAYes

What is NPI?

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This page was last updated on: 3/30/2025

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