WATERS EDGE AT WILLOW BROOK NPI 1912326489

NPI Information

  • NPI: 1912326489
  • Provider Name: WATERS EDGE AT WILLOW BROOK
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • Doing Business As: WATER'S EDGE
  • Address: 800 AGENCY TRL
    MANKATO, MN
    ZIP 56001
  • Phone: (507) 388-5582

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NPI Details

WATERS EDGE AT WILLOW BROOK is an assisted living facility in Mankato, 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. WATERS EDGE AT WILLOW BROOK NPI is 1912326489. The provider is registered as an organization entity type.
The provider Is Doing Business As Water's Edge.

The provider's business location address is:

800 AGENCY TRL
MANKATO, MN
ZIP 56001-936
Phone: (507) 388-5582

The provider's authorized official is Brooke Amber Olson .
The authorized official title is Director Of Operations and has the following contact phone number (507) 388-5582.

The enumeration date for this NPI number is 4/14/2014 and was last updated on 4/14/2014.

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 Facility366639MINNESOTAYes

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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