| NPI | 1760607097 |
|---|---|
| Doing Business As | WOODBURY VILLA |
| Entity Type | Organization |
| Authorized Contact | TRICIA MARIE LIES Sr Director Revenue Cycle 612-286-1170 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2007-04-13 |
| Last Update Date | 2024-04-25 |