Colony at Eden Prairie, LLC
NPI #1699732420 in Eden Prairie, Minnesota
Provider Information
- NPI Number
- 1699732420
- Entity Type
- Organization
- Organization Name
- Colony at Eden Prairie, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 26, 2006
- Last Updated
- Aug 8, 2014
Practice Location
- Address
- 429 PRAIRIE CENTER DR
- City
- Eden Prairie
- State
- Minnesota
- ZIP Code
- 55344-5378
- Phone
- (952) 888-2923
Authorized Official
- Name
- KYLE DIDIER
- Title
- PRESIDENT
- Phone
- (952) 358-5100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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