Organization · Type 2 NPI

Minnesota Senior Living LLC

Assisted Living Facility · Wayzata, MN

NPI number 1720593353 Active

Practice location

163 Wayzata Blvd W
Wayzata, MN 55391-1562

Call (952) 473-3200 Map

Mailing address

915 118th Ave SE Ste 110
Bellevue, WA 98005-3875

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	381390 (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

Meridian Manor Operatons LLCAssisted Living Facility Wayzata, MN NPI 1740525229

Other assisted living facility providers in Wayzata

See all in Wayzata →

NPI record

NPI: 1720593353
Entity type: Organization (Type 2)
Issued: Dec 5, 2017
Last updated: Dec 5, 2017
Status: Active
Subpart: Yes of Minnesota Senior Living LLC

Other names

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Meridian Manor · doing business as

Authorized official

Renae Witschen
Regional Director of Operations
(763) 202-1702

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1720593353

Minnesota Senior Living LLC's National Provider Identifier is 1720593353, issued on Dec 5, 2017. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Wayzata, MN. The record was last updated on Dec 5, 2017.