Healthcare Provider Details

I. General information

NPI: 1356465264
Provider Name (Legal Business Name): GARDEN COURT CHATEAU LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2501 COUNTY ROAD 76
GRAND RAPIDS MN
55744-8626
US

IV. Provider business mailing address

35511 HILL DR
GRAND RAPIDS MN
55744-4772
US

V. Phone/Fax

Practice location:
  • Phone: 218-999-5998
  • Fax:
Mailing address:
  • Phone: 218-999-5349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number335368
License Number StateMN

VIII. Authorized Official

Name: MICHELLE ANN SCHERF
Title or Position: PRESIDENT,OWNER
Credential:
Phone: 218-999-5349