WILDWOOD GROVE is an assisted living facility in Le Roy, MN. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WILDWOOD GROVE NPI is 1184833394. The provider is registered as an organization entity type.
The provider's business location address is:
410 E MAIN ST LE ROY, MN ZIP 55951-731 Phone: (507) 324-9515 Fax: (507) 324-5355
The provider's authorized official is Gerald A Payne . The authorized official title is President Of Board and has the following contact phone number (507) 324-5260.
The CLIA number assigned to this NPI record is 24D1037844 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 5/22/2007 and was last updated on 8/22/2020.
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.
This page was last updated on: 11/21/2025
NPI Synchronization or Removal
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