Healthcare Provider Details

I. General information

NPI: 1225034499
Provider Name (Legal Business Name): ARROWHEAD SENIOR LIVING COMMUNITY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2005
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

601 GRANT AVE
EVELETH MN
55734-1314
US

IV. Provider business mailing address

601 GRANT AVE
EVELETH MN
55734-1314
US

V. Phone/Fax

Practice location:
  • Phone: 218-744-9800
  • Fax: 218-744-9829
Mailing address:
  • Phone: 218-744-9800
  • Fax: 218-744-9829

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number326223
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number327282
License Number StateMN

VIII. Authorized Official

Name: DAWN CHIABOTTI
Title or Position: ADMINISTRATOR/CEO
Credential:
Phone: 218-744-9800