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Champlin Shores Llc
Assisted Living Facility in Champlin, Minnesota
NPI 1194845107

Champlin Shores Llc is an Assisted Living Facility based in Salem, MN. Champlin Shores Llc practices in Champlin, MN. The NPI Number for Champlin Shores Llc is 1194845107 and holds a License No. 333870 (Minnesota).

The current practice location address for Champlin Shores Llc is 119 Hayden Lake Rd E, Champlin, MN and can be reached out via phone at 763-712-0118.

Location: 119 Hayden Lake Rd E, Champlin, MN, 97302-4975
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194845107
Provider Name
Champlin Shores Llc
Credential
Provider Entity Type
Organization
Address
119 Hayden Lake Rd E, Champlin, MN, 97302-4975
Phone Number
763-712-0118
Fax Number
Provider Enumeration Date
03/31/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
119 Hayden Lake Rd E
City
Champlin
State
Minnesota
Zip
55316-1547
Phone Number
763-712-0118
Fax Number
person
Provider Business Mailing Address Details
Address
119 Hayden Lake Rd E
City
Champlin
State
Minnesota
Zip
55316-1547
Phone Number
763-712-0118
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
333870 (Minnesota)
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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