| NPI | 1386879476 |
|---|---|
| Doing Business As | CHESTNUT GROVE |
| Entity Type | Organization |
| Authorized Contact | RANDY P. SCHROETTER Executive Director 218-263-4157 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: MN 1022171-1AFC) |
| Additional Taxonomies | 311500000X Alzheimer Center (Dementia Center) (Licence: MN 1022172-1AFC) |
| 311500000X Alzheimer Center (Dementia Center) (Licence: MN 1010513-1AFC) | |
| 311500000X Alzheimer Center (Dementia Center) (Licence: MN 1010514-1AFC) | |
| Enumeration Date | 2009-05-19 |
| Last Update Date | 2009-05-20 |