National Provider Identifier Database

FIVE STAR LIVING OF PARK RAPIDS LLC
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

FIVE STAR LIVING OF PARK RAPIDS, LLC
909 CROCUS HILL ST
EVERGREEN SUITES
PARK RAPIDS, MN56470
Phone: 218-625-2316
Fax: 218-625-2338
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for FIVE STAR LIVING OF PARK RAPIDS, LLC

NPI Number 1659553170
Legal business name
LBN
FIVE STAR LIVING OF PARK RAPIDS, LLC
Authorized official LYNN GEVIK - (COO)
Entity Organization
Organization subpart Yes
Enumeration date 11/27/2007
Last updated 11/27/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 337090

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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