National Provider Identifier Database

EDGEWOOD MAY CREEK 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

EDGEWOOD MAY CREEK LLC
301 10TH ST SOUTH
WALKER, MN56484-4754
Phone: 701-757-5465
Fax:
Website:
Specialty Taxonomy Code
* Assisted Living Facility 310400000X
Alzheimer Center /Dementia Center/Dementia Special Care Unit 311500000X

* Indicates primary specialty

NPI Profile & details for EDGEWOOD MAY CREEK LLC

NPI Number 1972988509
Legal business name
LBN
EDGEWOOD MAY CREEK LLC
Authorized official REX CARLSON - (CFO)
Entity Organization
Organization subpart No
Enumeration date 07/24/2015
Last updated 07/24/2015 - About 11 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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