Provider Demographics
NPI:1386737286
Name:ORONO WOODLANDS, INC.
Entity type:Organization
Organization Name:ORONO WOODLANDS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-473-0852
Mailing Address - Street 1:2100 COUNTY ROAD 6
Mailing Address - Street 2:P.O. BOX 507
Mailing Address - City:LONG LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55356-9565
Mailing Address - Country:US
Mailing Address - Phone:952-473-0852
Mailing Address - Fax:952-473-8428
Practice Address - Street 1:2100 COUNTY ROAD 6
Practice Address - Street 2:
Practice Address - City:LONG LAKE
Practice Address - State:MN
Practice Address - Zip Code:55356-9565
Practice Address - Country:US
Practice Address - Phone:952-473-0852
Practice Address - Fax:952-473-8428
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-02
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities