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MARTIN LM LLC NPI 1073705661


NPI Information

NPI: 1073705661
Provider Name: MARTIN LM LLC

Doing Business As: CREEKSIDE ADULT DAY PROGRAM

Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
9801 PENN AVE S
BLOOMINGTON, MN
ZIP 55431
Phone: (952) 888-5405
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MARTIN LM LLC is an adult day care clinic center in Bloomington, MN. MARTIN LM LLC NPI is 1073705661. The provider is registered as an organization entity type.
The provider Is Doing Business As Creekside Adult Day Program.

The provider's business location address is:

9801 PENN AVE S
BLOOMINGTON, MN
ZIP 55431-912
Phone: (952) 888-5405

The provider's authorized official is Denver Kaufman .
The authorized official title is President and has the following contact phone number (612) 371-0053.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 10/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA0600XClinic/CenterAdult Day CareMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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