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General NPI Number Information
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NPI Number | 1548127186
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Entity Type | Organization
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Legal Business Name | WILLOWS OF EPISCOPAL HOMES LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 80 MACKUBIN ST
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City | SAINT PAUL
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State | MN
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Zip | 55102-2022
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Country | US
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Telephone | 651-313-5481
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Fax |
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Provider Business Mailing Address
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Address Line | 490 LYNNHURST AVE E
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City | SAINT PAUL
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State | MN
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Zip | 55104-3406
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Country | US
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Telephone | 651-632-8852
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Fax |
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Authorized Official
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Title or Position | CHIEF ADMINISTRATIVE OFFICER
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Name | HEIDI ELMQUIST
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Credential |
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Telephone | 651-632-8852
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number |
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License Number State |
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