DIAMOND WILLOW ASSISTED LIVING OF DETROIT LAKES
NPI 1144628215
Assisted Living Facility in Detroit Lakes, MN

Active since December 05, 2014
1564 RANDOLPH RD, DETROIT LAKES, MN 56501(218) 846-0147 Get Directions Write a Review

NPPES record last updated: December 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Diamond Willow Assisted Living Of Detroit Lakes NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DIAMOND WILLOW ASSISTED LIVING OF DETROIT LAKES (NPI 1144628215) is a healthcare organization registered as an assisted living facility in Detroit Lakes, Minnesota and active in the NPI registry since December 2014. The organization lists Natalie Zeleznikar, Owner, as its authorized official.

NPPES Registry Identity

NPI1144628215
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFCSL DETROIT LAKES, LLC
Location Address1564 RANDOLPH RDDetroit Lakes, MN 56501-3745
Mailing Address2701 W Superior St, Suite 101Duluth, MN 55806-1856 · (218) 625-8488
Organization SubpartNo
Authorized OfficialNatalie ZeleznikarOwner · (218) 625-8488
Enumeration DateDecember 5, 2014
NPI 1144628215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MN · 370703
Definition
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.
1564 RANDOLPH RD, Detroit Lakes, MN 56501

Other Names 1

Doing Business AsDiamond Willow Assisted Living Of Detroit Lakes

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fcsl Detroit Lakes, LLC's NPI number?

The NPI number for Fcsl Detroit Lakes, LLC is 1144628215. It was assigned to this organization in the NPPES registry on December 5, 2014. The provider is doing business as Diamond Willow Assisted Living Of Detroit Lakes.

Where is Fcsl Detroit Lakes, LLC located?

Fcsl Detroit Lakes, LLC is located at 1564 Randolph Rd, Detroit Lakes, MN 56501. The listed phone number is (218) 846-0147.

What is Fcsl Detroit Lakes, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Fcsl Detroit Lakes, LLC was last updated on December 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.