# VOP MANKATO LODGE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Mankato Lodge Senior Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659030575
- **Authorized official:** MS. TERRI LYNN BAKER (FINANCE AND LICENSING COORDINATOR)
- **Authorized official phone:** (503) 998-5810

## Contact information

- **Practice address:** 1360 ADAMS ST, MANKATO, MN 56001-4298
- **Practice address phone:** (866) 224-4789
- **Practice address fax:** (507) 388-2153
- **Mailing address:** 5101 NE 82ND AVE STE 200, VANCOUVER, WA 98662-6343
- **Mailing address phone:** (360) 254-9442
- **Mailing address fax:** (360) 254-1770

## Taxonomy

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

## Other

- **Enumeration date:** 12/08/2021
- **Last updated:** 12/08/2021