Organization · Type 2 NPI

Minnesota Senior Living LLC

Assisted Living Facility · Crystal, MN

NPI number 1780929257 Active

Practice location

3000 Douglas Dr N
Crystal, MN 55422-2452

Call (763) 544-6777 Map

Fax (763) 512-1772

Mailing address

915 118th Ave SE, 110
Bellevue, WA 98005-3819

Specialties and licenses

Taxonomy	Code	License
Assisted Living Facility Primary	310400000X	None listed

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.

Other assisted living facility providers in Crystal

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NPI record

NPI: 1780929257
Entity type: Organization (Type 2)
Issued: Dec 10, 2012
Last updated: Apr 14, 2017
Status: Active
Subpart: Yes of Presbyterian Retirement Communities Northwest

Other names

<unavail>
Heathers Manor · doing business as

Authorized official

Mark Mullen
Director of Strategic Partnerships
(425) 559-6301

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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 1780929257

Minnesota Senior Living LLC's National Provider Identifier is 1780929257, issued on Dec 10, 2012. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Crystal, MN. The record was last updated on Apr 14, 2017.