| NPI | 1184923286 |
|---|---|
| Doing Business As | THE LODGE ON HIGHVIEW |
| Entity Type | Organization |
| Authorized Contact | JACQUELYNNE SUE MCGOWAN President 952-435-6828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 349876) |
| Enumeration Date | 2011-03-15 |
| Last Update Date | 2011-03-15 |