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Organization
KTJ 292, LLC
Active
Organization
KTJ 292, LLC
Active
Other names
Pillars of Prospect Park
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA BOLLIG (EXECUTIVE DIRECTOR)
(612) 623-7000
Entity
Organization
Contact information
Practice address
22 MALCOLM AVE SE, MINNEAPOLIS, MN 55414-7584
(612) 723-7000
Mailing address
22 MALCOLM AVE SE, MINNEAPOLIS, MN 55414-7584
(612) 723-7000
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
04/30/2020
Last updated
04/30/2020
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