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Organization
VOP PLYMOUTH, LLC
Active
Organization
VOP PLYMOUTH, LLC
Active
Other names
Lakeside Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN CUMMINGS (PRESIDENT)
(312) 660-3800
Entity
Organization
Contact information
Practice address
15855 22ND AVE N, PLYMOUTH, MN 55447-6452
(763) 476-8200
Mailing address
15855 22ND AVE N, PLYMOUTH, MN 55447-6452
(763) 476-8200
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/07/2025
Last updated
02/18/2026
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