Organization · Type 2 NPI
Champions Village, LLC
Assisted Living Facility · Fridley, MN
NPI number
1457973273
Active
Practice location
7899 Alden Way NE
Fridley, MN 55432-2408
Mailing address
15570 59th Ave N
Plymouth, MN 55446-3695
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 1457973273
Champions Village, LLC's National Provider Identifier is 1457973273, issued on May 14, 2020. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Fridley, MN. The record was last updated on May 14, 2020.