Phs Lake Minnetonka LLC
NPI #1184737926 in Spring Park, Minnesota
Provider Information
- NPI Number
- 1184737926
- Entity Type
- Organization
- Organization Name
- Phs Lake Minnetonka LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 16, 2006
- Last Updated
- Nov 11, 2025
Practice Location
- Address
- 4515 SHORELINE DR
- City
- Spring Park
- State
- Minnesota
- ZIP Code
- 55384-8500
- Phone
- (952) 471-4001
Authorized Official
- Name
- MR. MARK MEYER
- Title
- CFO
- Phone
- (651) 631-6102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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