| NPI | 1063797215 |
|---|---|
| Doing Business As | CREEKSIDE COTTAGE |
| Entity Type | Organization |
| Authorized Contact | RUTH DAHL Director Of Housing With Services 763-862-5484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 350666) |
| Enumeration Date | 2011-10-19 |
| Last Update Date | 2011-10-19 |