Organization · Type 2 NPI

Certified Care Planner LLC

Assisted Living Facility · Maplewood, MN

NPI number 1154046126 Active

Practice location

1811 Birmingham St
Maplewood, MN 55109-4510

Fax (605) 309-1964

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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NPI record

NPI: 1154046126
Entity type: Organization (Type 2)
Issued: Oct 11, 2022
Last updated: Oct 11, 2022
Status: Active

Other names

Certified Care Planner LLC · doing business as
Certified Care Planner LLC · other name

Authorized official

Keta Mwakiluma, RN
Director of Nursing
(612) 478-2778

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About NPI 1154046126

Certified Care Planner LLC's National Provider Identifier is 1154046126, issued on Oct 11, 2022. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Maplewood, MN. The record was last updated on Oct 11, 2022.