Coventry Senior Living of Mahtomedi, LLC

NPI #1962776187 in Mahtomedi, Minnesota

Provider Information

NPI Number: 1962776187
Entity Type: Organization
Organization Name: Coventry Senior Living of Mahtomedi, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: SENIOR PROPERTIES OF MAHTOMEDI, LLC
Primary Specialty: Home Health
Enumeration Date: Mar 6, 2012
Last Updated: Mar 6, 2012

Practice Location

Address: 720 MAHTOMEDI AVE
City: Mahtomedi
State: Minnesota
ZIP Code: 55115-1673
Phone: (651) 528-8442

Authorized Official

Name: CARLEIGH SAWYER, LNHA
Title: HOUSING MANAGER
Phone: (651) 528-8442

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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