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Martin Lm Llc
Adult Care Home Facility in Bloomington, Minnesota
NPI 1255523858

Martin Lm Llc is an Adult Care Home Facility based in Bloomington, MN and is specialized in Adult Care Home. Martin Lm Llc practices in Bloomington, MN. The NPI Number for Martin Lm Llc is 1255523858 and holds a License No. 1045533-1 (Minnesota).

The current practice location address for Martin Lm Llc is 4616 W 102Nd St, Bloomington, MN and can be reached out via phone at 952-893-9078. You can also correspond with Martin Lm Llc through the mailing address at 1401 E 100TH ST, BLOOMINGTON, MN - 55425-2615 (mailing address contact number: 952-888-7751).

Location: 4616 W 102Nd St, Bloomington, MN, 55425-2615
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255523858
Provider Name
Martin Lm Llc
Credential
Provider Entity Type
Organization
Address
4616 W 102Nd St, Bloomington, MN, 55425-2615
Phone Number
952-893-9078
Fax Number
Provider Enumeration Date
08/16/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
228487000 05 MN
institution
Provider Business Practice Location Address Details
Address
4616 W 102Nd St
City
Bloomington
State
Minnesota
Zip
55437-2612
Phone Number
952-893-9078
Fax Number
person
Provider Business Mailing Address Details
Address
1401 E 100Th St
City
Bloomington
State
Minnesota
Zip
55425-2615
Phone Number
952-888-7751
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Custodial Care Facility
Speciality
Adult Care Home
Taxonomy
311ZA0620X
License No.
1045533-1 (Minnesota)
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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