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Organization
PHS/CHANHASSEN,INC.
Active
Organization
PHS/CHANHASSEN,INC.
Active
Other names
SUMMERWOOD OF CHANHASSEN
Organization subpart
No
Provider details
NPI number
Authorized official
JON TRANBY (PAYER RELATIONS DIRECTOR)
(651) 631-6102
Entity
Organization
Contact information
Practice address
525 LAKE DR, CHANHASSEN, MN 55317-8364
(952) 294-5500
Mailing address
2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
(651) 631-6432
(651) 631-6122
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
358746
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A697445000
UMPI
MN
Enumeration date
03/12/2014
Last updated
08/18/2026
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