| NPI | 1508271594 |
|---|---|
| Doing Business As | DIAMOND WILLOW ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | BOBBI A LUND Billing 218-625-2319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 367057) |
| Enumeration Date | 2014-06-27 |
| Last Update Date | 2014-06-27 |