Martin Lm LLC
NPI #1255523858 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1255523858
- Entity Type
- Organization
- Organization Name
- Martin Lm LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- MARTIN LM LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 16, 2007
- Last Updated
- Dec 17, 2008
Practice Location
- Address
- 4616 W 102ND ST
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55437-2612
- Phone
- (952) 893-9078
Authorized Official
- Name
- DENVER KAUFMAN
- Title
- PRESIDENT
- Phone
- (612) 371-0053
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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