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Phs/lake Minnetonka, Llc
Assisted Living Facility in Spring Park, Minnesota
NPI 1679997480

Phs/lake Minnetonka, Llc is an Assisted Living Facility based in Spring Park, MN. Phs/lake Minnetonka, Llc practices in Spring Park, MN. The NPI Number for Phs/lake Minnetonka, Llc is 1679997480 and holds a License No. 357277 (Minnesota).

The current practice location address for Phs/lake Minnetonka, Llc is 4527 Shoreline Dr, Spring Park, MN and can be reached out via phone at 952-471-4000.

Location: 4527 Shoreline Dr, Spring Park, MN, 55384-8706
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679997480
Provider Name
Phs/lake Minnetonka, Llc
Credential
Provider Entity Type
Organization
Address
4527 Shoreline Dr, Spring Park, MN, 55384-8706
Phone Number
952-471-4000
Fax Number
Provider Enumeration Date
02/13/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
A572652300 01 MN UMPI
institution
Provider Business Practice Location Address Details
Address
4527 Shoreline Dr
City
Spring Park
State
Minnesota
Zip
55384-8706
Phone Number
952-471-4000
Fax Number
person
Provider Business Mailing Address Details
Address
4527 Shoreline Dr
City
Spring Park
State
Minnesota
Zip
55384-8706
Phone Number
952-471-4000
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
357277 (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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