| NPI | 1629250063 |
|---|---|
| Doing Business As | DIAMOND WILLOW ASSISTED LIVING |
| Entity Type | Organization |
| Authorized Contact | LYNN GEVIK COO 218-625-2316 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 336724) |
| Enumeration Date | 2007-11-28 |
| Last Update Date | 2007-11-28 |