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NPI Code Detail

MEDICARE: ARROWHEAD SENIOR LIVING COMMUNITY

MEDICARE: ARROWHEAD SENIOR LIVING COMMUNITY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility327281MN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15102971OTHERMNSTATE EIN

General Provider Information

NPI Number : 1427056498
Entity Type Code : Organization
Provider Name (Legal Business Name) : ARROWHEAD SENIOR LIVING COMMUNITY
Provider Business Mailing Address
First Line : 1201 8TH ST S
Second Line :
City : VIRGINIA
State : MN
Zip : 55792-3349
Country : US
Telephone Number : 218-748-7800
Fax Number : 218-748-7890
Provider Business Practice Location Address
First Line : 1201 8TH ST S
Second Line :
City : VIRGINIA
State : MN
Zip : 55792-3349
Country : US
Telephone Number : 218-748-7800
Fax Number : 218-748-7890
Authorized Official
Title or Position : ADMINISTRATOR/CEO
Name : MRS. CHERYL A HIGH
Credential : LNHA
Telephone Number : 218-748-7801
Provider Enumeration Date : 07/13/2005
Last Update Date : 08/22/2020

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Directions to “ARROWHEAD SENIOR LIVING COMMUNITY ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.