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Contact Information

CHERRYWOOD ADVANCED LIVING, LLC
1899 139TH AVE NW
ANDOVER, MN55304
 Phone: 320-257-7445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Assisted Living Facility

310400000X
Indicates primary specialty

NPI Profile & details for CHERRYWOOD ADVANCED LIVING, LLC

NPI Number 1326462177
LBN Legal business name CHERRYWOOD ADVANCED LIVING, LLC
Authorized official WENDY HULSEBUS - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/14/2014
Last updated 02/14/2014 - About 12 years ago
Identifiers
MN Other CHERRYWOOD 1899 HOUSING WITH SERVICES
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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