BRECK HOME RESIDENTIAL CARE CENTER LLC NPI 1992004071

NPI Information

BRECK HOME RESIDENTIAL CARE CENTER, LLC is an assisted living facility in Bloomington, 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. BRECK HOME RESIDENTIAL CARE CENTER, LLC NPI is 1992004071. The provider is registered as an organization entity type.

The provider's business location address is:

312 W 95TH ST
BLOOMINGTON, MN
ZIP 55420-311
Phone: (612) 702-8801

The provider's authorized official is Jennifer Morgan .
The authorized official title is Owner/operator and has the following contact phone number (612) 702-8801.

The CLIA number assigned to this NPI record is 24D1058403 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/15/2011 and was last updated on 3/15/2011.

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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