Lilly J's Housing & Services L.l.c.

NPI #1164177630 in Fridley, Minnesota

Provider Information

NPI Number
1164177630
Entity Type
Organization
Organization Name
Lilly J's Housing & Services L.l.c.
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 14, 2022
Last Updated
Mar 13, 2022

Practice Location

Address
111 63 1/2 WAY NE
ZIP Code
55432-4819
Phone
(612) 458-4545

Authorized Official

Name
NATALEE ALEXANDRA SUCKOO, REGISTERED NURSE
Title
CEO
Phone
(612) 458-4545

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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