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 |