Keystone Communities of Prior Lake
NPI #1245396084 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1245396084
- Entity Type
- Organization
- Organization Name
- Keystone Communities of Prior Lake
- Primary Specialty
- Lodging
- Enumeration Date
- Dec 28, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 4685 PARK NICOLLET AVE SE
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-3926
- Phone
- (952) 836-2793
Authorized Official
- Name
- DONNA TEFF
- Title
- ACCOUNTS SUPERVISOR
- Phone
- (952) 836-2793
Specialties & Taxonomy Codes
| Specialty |
|---|
| Lodging |
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|---|---|
| Northern Itasca Hospital District | |
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