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Organization
EAGLECREST SENIOR HOUSING, LLC
Active
Organization
EAGLECREST SENIOR HOUSING, LLC
Active
Other names
EagleCrest
Organization subpart
No
Provider details
NPI number
Authorized official
JON TRANBY (PAYER RELATIONS DIRECTOR)
(651) 631-6102
Entity
Organization
Contact information
Practice address
2945 LINCOLN DR, ROSEVILLE, MN 55113-1338
(651) 628-3000
Mailing address
2845 HAMLINE AVE N, ROSEVILLE, MN 55113-7127
(651) 631-6432
(651) 631-6122
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
357428
MN
Other
Enumeration date
02/14/2014
Last updated
08/18/2026
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