CL
COLBY LAKE CARE HOME, INC.
Custodial Care Facility
OIG CLEARNPI VERIFIED
Location
WOODBURY, MN
Licensed since
2008
Rate
—
Federal identifiers
NPI registry number1396980017
Agency details
Medicare activity
StatusNo Medicare utilization on file — neutral.
Authorized official
NameVIJWANTIE SIRJU
TitleCEO/OWNER
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