Lino Lakes Gw, LLC
NPI #1720462617 in Lino Lakes, Minnesota
Provider Information
- NPI Number
- 1720462617
- Entity Type
- Organization
- Organization Name
- Lino Lakes Gw, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jul 10, 2015
- Last Updated
- Jul 10, 2015
Practice Location
- Address
- 675 MARKET PLACE DRIVE
- City
- Lino Lakes
- State
- Minnesota
- ZIP Code
- 55014
- Phone
- (651) 287-0265
Authorized Official
- Name
- SARAH PAULEY
- Title
- BUSINESS MANAGER
- Phone
- (651) 287-0265
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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