24D2008534 CLIA NUMBER - NINE MILE CREEK SENIOR LIVING

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Laboratory Demographics

CLIA Number: 24D2008534

Facility Name: NINE MILE CREEK SENIOR LIVING

Facility Address:
2301 VILLAGE LANE
BLOOMINGTON, MN
ZIP 55431
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Facility Phone Number: (952) 888-0731

Facility Type: ASSISTED LIVING FACILITY

Certificate Type: Waiver

NPI Number: 1295008787

Taxonomy: 310400000X - Assisted Living Facility
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.

CLIA Record

Field Name	Field Value
CLIA Number	24D2008534
LAB Type	ASSISTED LIVING FACILITY
Facility Name	NINE MILE CREEK SENIOR LIVING
Street	2301 VILLAGE LANE
City	BLOOMINGTON
State	MN
ZIP	55431
Phone	(952) 888-0731

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This page was last updated on: 5/11/2023