MIDWEST GROUP LIVING INC. NPI 1457837668

NPI Information

MIDWEST GROUP LIVING INC. 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. MIDWEST GROUP LIVING INC. NPI is 1457837668. The provider is registered as an organization entity type.

The provider's business location address is:

3552 1ST AVE S
MINNEAPOLIS, MN
ZIP 55408-509
Phone: (952) 457-3802
Fax: (612) 454-2629

The provider's authorized official is Hesen Shire .
The authorized official title is Owner and has the following contact phone number (612) 222-1111.

The CLIA number assigned to this NPI record is 24D2175522 - home health agency with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/11/2018 and was last updated on 7/11/2018.

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:

Other Identifiers

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