Willow Residence Llc
Assisted Living Facility in Minneapolis, MN(View on Map)
Legal Business Name
Willow Residence Llc
NPI Number
1184493124
NPI Type
Organization
Enumeration Date
01/01/2024
Specialties
(Taxonomies)Contact
Information
Purpose
Mailing
Location
Address
3208 PARK AVE
3208 PARK AVE
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55407-2008
55407-2008
Country
US
US
Telephone Number
(612) 913-2975
(612) 913-2975
Authorized Official
Name
Faisa Hussein
Title or Position
OWNER
Telephone Number
(612) 913-2975
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 01/18/2024
Provider Address
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