Organization · Type 2 NPI
11020 39th ST N Opco LLC
Assisted Living Facility · Lake Elmo, MN
NPI number
1801776679
Active
Practice location
11020 39th St N
Lake Elmo, MN 55042-9668
Fax (612) 360-2331
Mailing address
5900 Clearwater Dr Ste 500
Minnetonka, MN 55343-8961
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.
Another provider at this address
Other assisted living facility providers in Lake Elmo
About NPI 1801776679
11020 39th ST N Opco LLC's National Provider Identifier is 1801776679, issued on Sep 3, 2025. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Lake Elmo, MN. The record was last updated on Sep 22, 2025.