Green Gables Assisted Living LLC
Organization Active NPI Assisted Living Facility · Cold Spring, MN
NPI 1740637859 · NPPES record last updated May 18, 2016
Key facts
- NPI
- 1740637859
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- HFID - 32338 (MN)
- Legal business name
- GREEN GABLES ASSISTED LIVING LLC
- Practice address
- 614 Emma Dr SE
Cold Spring, MN 56320-1454 - Phone
- (320) 348-9142
- Fax
- (320) 686-0231
- NPI assigned
- May 18, 2016
- Organization subpart
- No
Authorized official
- Name
- Marlene G Polk-Pearson, BSN
- Title
- Ceo
- Phone
- (763) 229-2287
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | HFID - 32338 | MN | Yes |
Addresses
Primary practice location
614 Emma Dr SE
Cold Spring, MN 56320-1454
Mailing address
614 Emma Dr SE
Cold Spring, MN 56320-1454
Phone (320) 348-9142
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All providers in Cold Spring, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 18, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.