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Organization

GOPHER (BURNSVILLE) TRS LLC

Active
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Organization

GOPHER (BURNSVILLE) TRS LLC

Active
Other names
Havenwood of Burnsville
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA SIMS (PRESIDENT)
(214) 754-8623
Entity
Organization

Contact information

Practice address
14401 GRAND AVE, BURNSVILLE, MN 55306-5709
(612) 439-2510
Mailing address
14401 GRAND AVE, BURNSVILLE, MN 55306-5709
(612) 439-2510

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
01/12/2022
Last updated
01/12/2022
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