Organization · Type 2 NPI
Crest Ridge Residences LLC
Assisted Living Facility · Minnetonka, MN
NPI number
1922583178
Active
Practice location
10955 Wayzata Blvd
Minnetonka, MN 55305-1535
Mailing address
2722 Park Avenue South - Attention Jill Nokleby Kaiser
Minneapolis, MN 55407
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.
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About NPI 1922583178
Crest Ridge Residences LLC's National Provider Identifier is 1922583178, issued on Oct 3, 2018. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Minnetonka, MN. The record was last updated on Oct 3, 2018.