Organization

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)

Code

310400000X

Primary Taxonomy

Yes

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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