Sholom Community Alliance, LLC
NPI #1972169159 in St Louis Park, Minnesota
Provider Information
- NPI Number
- 1972169159
- Entity Type
- Organization
- Organization Name
- Sholom Community Alliance, LLC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- May 14, 2019
- Last Updated
- May 14, 2019
Practice Location
- Address
- 3610 PHILLIPS PKWY
- City
- St Louis Park
- State
- Minnesota
- ZIP Code
- 55426-3765
- Phone
- (952) 908-1700
Authorized Official
- Name
- DOUGLAS WYCKOFF
- Title
- CONTROLLER
- Phone
- (952) 939-1637
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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