Individual provider · Type 1 NPI
Jennifer Lake
Adult Care Home Facility · Burnsville, MN
NPI number
1538072483
Active
Practice location
1713 Keller Lake Dr
Burnsville, MN 55306-6376
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
Other adult care home facility providers in Burnsville
About NPI 1538072483
Jennifer Lake's National Provider Identifier is 1538072483, issued on Sep 23, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Burnsville, MN. The record was last updated on Sep 23, 2026.