National Provider Identifier Database

CORNERSTONE RESIDENCE OF BAGLEY 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

CORNERSTONE RESIDENCE OF BAGLEY, INC
30 SUNSET AVE SW
BAGLEY, MN56621
Phone: 218-694-2701
Fax: 218-694-2718
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X

* Indicates primary specialty

NPI Profile & details for CORNERSTONE RESIDENCE OF BAGLEY, INC

NPI Number 1942436985
Legal business name
LBN
CORNERSTONE RESIDENCE OF BAGLEY, INC
Authorized official ALLEN POTVIN - (OWNER/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 06/04/2009
Last updated 06/04/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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