Kindred Supports LLC
NPI #1669110953 in Prior Lake, Minnesota
Provider Information
- NPI Number
- 1669110953
- Entity Type
- Organization
- Organization Name
- Kindred Supports LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 25, 2022
- Last Updated
- May 25, 2022
Practice Location
- Address
- 5554 WOODSIDE RD SE
- City
- Prior Lake
- State
- Minnesota
- ZIP Code
- 55372-2044
- Phone
- (612) 810-9796
Authorized Official
- Name
- ANTHONY GJORVAD
- Title
- OWNER
- Phone
- (612) 812-9786
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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