Organization · Type 2 NPI

North Branch Gw, LLC

Assisted Living Facility · Mendota Heights, MN

NPI number 1295094191 Active

Practice location

720 Main St, Suite 205
Mendota Heights, MN 55118-3757

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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 1295094191

North Branch Gw, LLC's National Provider Identifier is 1295094191, issued on May 11, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mendota Heights, MN. The record was last updated on May 11, 2012.