# NU HORIZONS OF SOUTHERN MN LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417623596
- **Authorized official:** CHRISTOPHER THOMAS JOHNSON (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (612) 386-8743

## Contact information

- **Practice address:** 107 PARK AVE NE, ELYSIAN, MN 56028-2041
- **Practice address phone:** (612) 386-8743
- **Mailing address:** PO BOX 247, ELYSIAN, MN 56028-0247
- **Mailing address phone:** (612) 386-8743

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/19/2021
- **Last updated:** 08/19/2021