National Provider Identifier Database

AUTUMN HILLS OF BEMIDJI INC
Assisted Living Facility

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.


Contact Information

AUTUMN HILLS OF BEMIDJI, INC.
2528 PARK AVE NW
BEMIDJI, MN56601
Phone: 218-333-3854
Fax: 218-333-3855
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for AUTUMN HILLS OF BEMIDJI, INC.

NPI Number 1619199916
Legal business name
LBN
AUTUMN HILLS OF BEMIDJI, INC.
Authorized official SHELLEY CLOOSE - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 332829

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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