# SISU LIVING LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sisu Living LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1730835133
- **Authorized official:** MRS. SUMMER A KLENKEN (BUSINESS MANAGER & OWNER)
- **Authorized official phone:** (320) 292-0366

## Contact information

- **Practice address:** 2107 TROOP DR STE 201, SARTELL, MN 56377-4563
- **Practice address phone:** (320) 292-0366
- **Mailing address:** 2107 TROOP DR STE 201, SARTELL, MN 56377-4563
- **Mailing address phone:** (320) 292-0366

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 311Z00000X | Custodial Care Facility | — | NULL | — |

## Other

- **Enumeration date:** 02/23/2022
- **Last updated:** 03/25/2024
