| NPI | 1508080631 |
|---|---|
| Doing Business As | DIAMOND WILLOW |
| Entity Type | Organization |
| Authorized Contact | LYNN GEVIK COO 218-625-2316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 333812) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2020-08-22 |