Golden Oaks Advanced Assisted Living Plus - Proctor

Organization Active NPI Assisted Living Facility · Proctor, MN

NPI 1154584027 · NPPES record last updated May 15, 2009

Key facts

NPI
1154584027
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
License
339969 (MN)
Legal business name
GOLDEN OAKS ADVANCED ASSISTED LIVING PLUS - PROCTOR
Practice address
23 Waterview Dr
Proctor, MN 55810
Phone
(218) 740-0404
Fax
(218) 729-0319
NPI assigned
Jul 9, 2008
Organization subpart
Yes
Parent organization (as reported)
GOLDEN OAKS INC.

Authorized official

Name
Laura Lokken, RN
Title
Director of Nursing
Phone
(218) 729-5014

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

National Provider Directory

Part of
Golden Oaks Inc

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 339969 MN Yes

Addresses

Primary practice location

23 Waterview Dr
Proctor, MN 55810

Mailing address

4067 Reinke Rd
Hermantown, MN 55811-3611
Phone (218) 729-5014

Other identifiers

IdentifierTypeStateIssuer
1B1S74GOOtherMNFIRSTPLAN OF MINNESOTA
6080533OtherMNMEDICA
182025OtherMNUCARE

Other providers in Proctor, MN

All providers in Proctor, MN · Assisted Living Facility in Minnesota

Sources for this page

Verify at the official NPI Registry.