WEST BLOOMINGTON RESIDENCE is an assisted living facility in Minneapolis, 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. WEST BLOOMINGTON RESIDENCE NPI is 1366566572. The provider is registered as an organization entity type.
The provider's business location address is:
10441 JOHNSON AVE S
MINNEAPOLIS, MN
ZIP 55437-819
Phone: (763) 550-1774
The provider's authorized official is Marcia Sue Dooner .
The authorized official title is Director and has the following contact phone number (763) 550-1774.
The CLIA number assigned to this NPI record is 24D2252360 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/16/2007 and was last updated on 4/25/2008.