Organization · Type 2 NPI

Community Asset Foundation, LLC

Assisted Living Facility · Mountain Lake, MN

NPI number 1750622908 Active

Practice location

603 7th Ave
Mountain Lake, MN 56159-1333

Call (507) 427-2465 Map

Mailing address

745 Basinger Memorial Dr
Mountain Lake, MN 56159-1312

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	29275 (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.

NPI record

NPI: 1750622908
Entity type: Organization (Type 2)
Issued: Mar 13, 2013
Last updated: Apr 13, 2022
Status: Active

Other names

<unavail>
The Lodge of Mountain Lake · doing business as
The Lodge of Mountain Lake · doing business as

Authorized official

David C Pokorney
Treasurer
(612) 703-5709

Verify this record

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.

Is this your record? How to update it.

About NPI 1750622908

Community Asset Foundation, LLC's National Provider Identifier is 1750622908, issued on Mar 13, 2013. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Mountain Lake, MN. The record was last updated on Apr 13, 2022.