# MARTIN LM LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MARTIN LM LLC
- **Other names:** Highland House
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1255523858
- **Legal business name:** MARTIN LM LLC
- **Authorized official:** DENVER KAUFMAN (PRESIDENT)
- **Authorized official phone:** (612) 371-0053

## Contact information

- **Practice address:** 4616 W 102ND ST, BLOOMINGTON, MN 55437-2612
- **Practice address phone:** (952) 893-9078
- **Mailing address:** 1401 E 100TH ST, BLOOMINGTON, MN 55425-2615
- **Mailing address phone:** (952) 888-7751

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1045533-1 | MN | Yes |

## Other

- **Enumeration date:** 08/16/2007
- **Last updated:** 12/17/2008
