SHOLOM COMMUNITY ALLIANCE LLC NPI 1972169159

NPI Information

SHOLOM COMMUNITY ALLIANCE, LLC is an assisted living facility in St Louis Park, 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. SHOLOM COMMUNITY ALLIANCE, LLC NPI is 1972169159. The provider is registered as an organization entity type.

The provider's business location address is:

3610 PHILLIPS PKWY
ST LOUIS PARK, MN
ZIP 55426-765
Phone: (952) 908-1700

The provider's authorized official is Douglas Wyckoff .
The authorized official title is Controller and has the following contact phone number (952) 939-1637.

The enumeration date for this NPI number is 5/14/2019 and was last updated on 5/14/2019.

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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