Minnesota Senior Living LLC

NPI #1720593353 in Wayzata, Minnesota

Provider Information

NPI Number
1720593353
Entity Type
Organization
Organization Name
Minnesota Senior Living LLC
Subpart
Yes (part of a larger organization)
Parent Organization
MINNESOTA SENIOR LIVING LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Dec 5, 2017
Last Updated
Dec 5, 2017

Practice Location

Address
163 WAYZATA BLVD W
ZIP Code
55391-1562
Phone
(952) 473-3200

Authorized Official

Name
RENAE WITSCHEN
Title
REGIONAL DIRECTOR OF OPERATIONS
Phone
(763) 202-1702

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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