Organization · Type 2 NPI
Autumn Glen Senior Living LLC
Assisted Living Facility · Coon Rapids, MN
NPI number
1508221136
Active
Practice location
3715 Coon Rapids Blvd NW
Coon Rapids, MN 55433-2777
Fax (763) 746-4080
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 372324 (MN) |
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.
Another provider at this address
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About NPI 1508221136
Autumn Glen Senior Living LLC's National Provider Identifier is 1508221136, issued on Dec 26, 2015. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Coon Rapids, MN. The record was last updated on Dec 26, 2015.