NORTH STAR CLUB LLC NPI 1609276724

NPI Information

NORTH STAR CLUB, LLC is an adult care home custodial care facility in Bloomington, MN. The provider is a custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. NORTH STAR CLUB, LLC NPI is 1609276724. The provider is registered as an organization entity type.

The provider's business location address is:

8040 OLD CEDAR AVE S
BLOOMINGTON, MN
ZIP 55425-234
Phone: (952) 542-6219

The provider's authorized official is Jason Fischer .
The authorized official title is Manager and has the following contact phone number (952) 426-6219.

The enumeration date for this NPI number is 8/26/2014 and was last updated on 8/26/2014.

Taxonomy Codes

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