# THE FRIENDSHIP HOME COMMUNITY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194044875
- **Authorized official:** MRS. VICTORIA ELIZABETH JOHANSSON (OWNER/DIRECTOR)
- **Authorized official phone:** (651) 398-2294

## Contact information

- **Practice address:** 947 LYDIA DR W, ROSEVILLE, MN 55113-1923
- **Practice address phone:** (651) 398-2294
- **Practice address fax:** (651) 528-6216
- **Mailing address:** 947 LYDIA DR W, ROSEVILLE, MN 55113-1923
- **Mailing address phone:** (651) 398-2294
- **Mailing address fax:** (651) 528-6216

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 24337 | MN | Yes |

## Other

- **Enumeration date:** 05/20/2010
- **Last updated:** 05/20/2010