National Provider Identifier Database

FAIRWAY VIEW SENIOR COMMUNITY
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

FAIRWAY VIEW SENIOR COMMUNITY
215 LUNDELL AVENUE
ORTONVILLE, MN56278
Phone: 320-839-2397
Fax: 320-839-2398
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for FAIRWAY VIEW SENIOR COMMUNITY

NPI Number 1740304963
Legal business name
LBN
FAIRWAY VIEW SENIOR COMMUNITY
Authorized official BONNIE DYBDAHL - (HOUSING MANAGER)
Entity Organization
Organization subpart No
Enumeration date 03/16/2007
Last updated 06/25/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 331965
  • MN Medicaid: 861473300
  • MN Other: 050606005 PRIMEWEST

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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