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Organization
BROOKLYN PARK ASSISTED LIVING
Active
Organization
BROOKLYN PARK ASSISTED LIVING
Active
Other names
The Lodge of Brooklyn Park
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CROW (OWNER)
(612) 986-3859
Entity
Organization
Contact information
Practice address
7711 HUMBOLDT AVE N, BROOKLYN PARK, MN 55444-2167
(612) 200-0901
Mailing address
PO BOX 46104, PLYMOUTH, MN 55446-0104
(612) 200-0901
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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