Phs/lake Minnetonka, LLC
NPI #1679997480 in Spring Park, Minnesota
Provider Information
- NPI Number
- 1679997480
- Entity Type
- Organization
- Organization Name
- Phs/lake Minnetonka, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 13, 2014
- Last Updated
- Nov 11, 2025
Practice Location
- Address
- 4527 SHORELINE DR
- City
- Spring Park
- State
- Minnesota
- ZIP Code
- 55384-8706
- Phone
- (952) 471-4000
Authorized Official
- Name
- MR. MARK MEYER
- Title
- CFO
- Phone
- (651) 631-6102
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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