Champlin Shores LLC
NPI #1194845107 in Champlin, Minnesota
Provider Information
- NPI Number
- 1194845107
- Entity Type
- Organization
- Organization Name
- Champlin Shores LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Mar 31, 2007
- Last Updated
- Aug 22, 2020
Practice Location
Authorized Official
- Name
- JON HARDER
- Title
- MANAGER
- Phone
- (503) 485-4600
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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