GARDEN TERRACE ASSISTED LIVING LLC NPI 1972049708

NPI Information

GARDEN TERRACE ASSISTED LIVING LLC is an assisted living facility in Wrenshall, 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. GARDEN TERRACE ASSISTED LIVING LLC NPI is 1972049708. The provider is registered as an organization entity type.

The provider's business location address is:

426 MASON DR
WRENSHALL, MN
ZIP 55797-030
Phone: (218) 348-7588

The provider's authorized official is Michael Stanley Podgornik .
The authorized official title is President and has the following contact phone number (218) 348-7588.

The CLIA number assigned to this NPI record is 24D1068792 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/18/2017 and was last updated on 1/18/2017.

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:

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