North Star Club, LLC
NPI #1609276724 in Bloomington, Minnesota
Provider Information
- NPI Number
- 1609276724
- Entity Type
- Organization
- Organization Name
- North Star Club, LLC
- Primary Specialty
- Custodial Care Facility - Adult Care Home
- Enumeration Date
- Aug 26, 2014
- Last Updated
- Aug 26, 2014
Practice Location
- Address
- 8040 OLD CEDAR AVE S
- City
- Bloomington
- State
- Minnesota
- ZIP Code
- 55425-1234
- Phone
- (952) 542-6219
Authorized Official
- Name
- JASON FISCHER
- Title
- MANAGER
- Phone
- (952) 426-6219
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
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