Organization · Type 2 NPI

18605 Old Excelsior Boulevard Opco LLC

Assisted Living Facility · Minnetonka, MN

NPI number 1063309391 Active

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.