Organization · Type 2 NPI

Crystal Edge 2 LLC

Assisted Living Facility · St. Paul, MN

NPI number 1841016458 Active

Practice location

1979 Wilson Ave
St. Paul, MN 55119-4046

Call (612) 459-2724 Map

Mailing address

10616 Kyle Ave N
Brooklyn Park, MN 55443-1250

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone 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.

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About NPI 1841016458

Crystal Edge 2 LLC's National Provider Identifier is 1841016458, issued on Nov 27, 2024. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in St. Paul, MN. The record was last updated on Nov 27, 2024.