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Organization
PLYMOUTH SENIOR HOUSING, LLC
Active
Organization
PLYMOUTH SENIOR HOUSING, LLC
Active
Other names
Summerwood of Plymouth
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK MEYER (CFO)
(651) 631-6120
Entity
Organization
Contact information
Practice address
16205 36TH AVE N, PLYMOUTH, MN 55446-3374
(763) 383-8888
Mailing address
16205 36TH AVE N, PLYMOUTH, MN 55446-3374
(763) 383-8888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
357338
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A517413000
UMPI
MN
Enumeration date
02/14/2014
Last updated
02/14/2014
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