Organization · Type 2 NPI
18605 Old Excelsior Boulevard Opco LLC
Assisted Living Facility · Minnetonka, MN
NPI number
1063309391
Active
Practice location
18605 Old Excelsior Blvd
Minnetonka, MN 55345-3120
Fax (612) 360-2331
Mailing address
5900 Clearwater Dr Ste 500
Minnetonka, MN 55343-8961
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | None listed |
Assisted Living Facility: 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.
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About NPI 1063309391
18605 Old Excelsior Boulevard Opco LLC's National Provider Identifier is 1063309391, issued on Jun 19, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Minnetonka, MN. The record was last updated on Sep 22, 2025.