OrganizationActive
Amazing Love Elderly Care Center LLC
NPI 1003368309 · Adult Care Home Facility · Randall, MN
Provider details
- NPI number
- 1003368309
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Authorized official
- Penny Poling, Owner/Partner
- License
- 1083851 (MN)
Mailing address
31 10th St Nw
Staples, MN 56479-5118
Registry dates
- Enumerated
- 2016-11-03
- Last updated
- 2016-11-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.