Garden Terrace Assisted Living LLC
Organization Active NPI Assisted Living Facility · Wrenshall, MN
NPI 1972049708 · NPPES record last updated Jan 18, 2017
Key facts
- NPI
- 1972049708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- Legal business name
- GARDEN TERRACE ASSISTED LIVING LLC
- Practice address
- 426 Mason Dr
Wrenshall, MN 55797-9030 - Phone
- (218) 348-7588
- NPI assigned
- Jan 18, 2017
- Organization subpart
- No
Authorized official
- Name
- Mr. Michael Stanley Podgornik
- Title
- President
- Phone
- (218) 348-7588
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Garden Terrace Assisted Living LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | MN | Yes |
Addresses
Primary practice location
426 Mason Dr
Wrenshall, MN 55797-9030
Mailing address
5401 Samuelson Rd
Duluth, MN 55811-9710
Phone (218) 348-7588
Other providers in Wrenshall, MN
- Carlton-Wrenshall School District
- Jamie Frey
- Garden Terrace Assisted Living LLC
- Garden Terrace Assisted Living, LTD
- Sara Weik
All providers in Wrenshall, 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 Jan 18, 2017. 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.