Organization · Type 2 NPI
Phs/lake Minnetonka, LLC
Assisted Living Facility · Spring Park, MN
NPI number
1679997480
Active
Practice location
4527 Shoreline Dr
Spring Park, MN 55384-8706
Mailing address
2845 Hamline Ave N
Roseville, MN 55113-7127
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility Primary | 310400000X | 357277 (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.
About NPI 1679997480
Phs/lake Minnetonka, LLC's National Provider Identifier is 1679997480, issued on Feb 13, 2014. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Spring Park, MN. The record was last updated on Aug 18, 2026.