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Organization
CHP MAPLEWOOD MN TENANT CORP.
Active
Organization
CHP MAPLEWOOD MN TENANT CORP.
Active
Other names
ALF Employer MN2, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY B BRACCO (SENIOR VICE PRESIDENT)
(407) 540-7576
Entity
Organization
Contact information
Practice address
1870 E. SHORE DRIVE, MAPLEWOOD, MN 55109
(651) 777-7784
Mailing address
1870 E. SHORE DRIVE, MAPLEWOOD, MN 55109
(651) 777-7784
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HFID29005
MN
Other
Enumeration date
02/15/2016
Last updated
10/30/2023
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