MINNESOTA SENIOR LIVING LLC NPI 1720593353

NPI Information

NPI: 1720593353
Provider Name: MINNESOTA SENIOR LIVING LLC

Doing Business As: MERIDIAN MANOR

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
163 WAYZATA BLVD W
WAYZATA, MN
ZIP 55391
Phone: (952) 473-3200
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MINNESOTA SENIOR LIVING LLC is an assisted living facility in Wayzata, 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. MINNESOTA SENIOR LIVING LLC NPI is 1720593353. The provider is registered as an organization entity type.
The provider Is Doing Business As Meridian Manor.

The provider's business location address is:

163 WAYZATA BLVD W
WAYZATA, MN
ZIP 55391-562
Phone: (952) 473-3200

The provider's authorized official is Renae Witschen .
The authorized official title is Regional Director Of Operations and has the following contact phone number (763) 202-1702.

The enumeration date for this NPI number is 12/5/2017 and was last updated on 12/5/2017.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		381390	MINNESOTA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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