Ktj 212, LLC
NPI #1104480714 in Excelsior, Minnesota
Provider Information
- NPI Number
- 1104480714
- Entity Type
- Organization
- Organization Name
- Ktj 212, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Apr 29, 2019
- Last Updated
- Apr 29, 2019
Practice Location
Authorized Official
- Name
- LISA MISKULIN
- Title
- EXECUTIVE DIRECTOR
- Phone
- (952) 401-7444
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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