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Crystal Edge Llc
Assisted Living Facility in Brooklyn Park, Minnesota
NPI 1093434151

Crystal Edge Llc is an Assisted Living Facility based in Brooklyn Park, MN. Crystal Edge Llc practices in Brooklyn Park, MN. The NPI Number for Crystal Edge Llc is 1093434151 and holds a License No. (Minnesota).

The current practice location address for Crystal Edge Llc is 9119 Regent Pkwy, Brooklyn Park, MN and can be reached out via phone at 612-459-2724.

Location: 9119 Regent Pkwy, Brooklyn Park, MN, 55443-1660
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093434151
Provider Name
Crystal Edge Llc
Credential
Provider Entity Type
Organization
Address
9119 Regent Pkwy, Brooklyn Park, MN, 55443-1660
Phone Number
612-459-2724
Fax Number
Provider Enumeration Date
08/23/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
9119 Regent Pkwy
City
Brooklyn Park
State
Minnesota
Zip
55443-1660
Phone Number
612-459-2724
Fax Number
person
Provider Business Mailing Address Details
Address
9119 Regent Pkwy
City
Brooklyn Park
State
Minnesota
Zip
55443-1660
Phone Number
612-459-2724
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
()
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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