Organization · Type 2 NPI
Keystone Communities of Prior Lake
Lodging Provider · Prior Lake, MN
NPI number
1245396084
Active
Practice location
4685 Park Nicollet Ave SE
Prior Lake, MN 55372-3926
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lodging Provider Primary | 177F00000X | 333604 (MN) |
Lodging Provider: A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
4 other providers at this address
- 4685 Park Nicollet Avenue Opco LLCAssisted Living Facility Prior Lake, MN NPI 1093604456
- Prior Lake Ops LLCAssisted Living Facility Prior Lake, MN NPI 1003292962
- Jessica Lynn SpurrierFamily Nurse Practitioner Prior Lake, MN NPI 1609643352
- Katherine Price, OTR/LOccupational Therapist Prior Lake, MN NPI 1972008522
About NPI 1245396084
Keystone Communities of Prior Lake's National Provider Identifier is 1245396084, issued on Dec 28, 2006. The primary taxonomy on file is Lodging Provider (177F00000X), and the practice location is in Prior Lake, MN. The record was last updated on Aug 22, 2020.