| NPI | 1710384862 |
|---|---|
| Doing Business As | DIAMOND WILLOW ASSISTED LIVING OF LESTER PARK |
| Entity Type | Organization |
| Authorized Contact | NATALIE ZELEZNIKAR Owner 218-625-8488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN 370691) |
| Enumeration Date | 2014-12-04 |
| Last Update Date | 2014-12-04 |