GOPHER (BURNSVILLE) TRS LLC NPI 1275284101

NPI Information

GOPHER (BURNSVILLE) TRS LLC is an assisted living facility in Burnsville, MN. The provider is 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. GOPHER (BURNSVILLE) TRS LLC NPI is 1275284101. The provider is registered as an organization entity type.
The provider Is Doing Business As Havenwood Of Burnsville.

The provider's business location address is:

14401 GRAND AVE
BURNSVILLE, MN
ZIP 55306-709
Phone: (612) 439-2510

The provider's authorized official is Laura Sims .
The authorized official title is President and has the following contact phone number (214) 754-8623.

The CLIA number assigned to this NPI record is 24D2182018 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2022 and was last updated on 1/12/2022.

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:

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