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Organization
MP, LLC
Active
Organization
MP, LLC
Active
Other names
MIRAMONT POINTE
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN B GOODMAN (PRESIDENT OF MANAGING MEMBER)
(952) 361-8000
Entity
Organization
Contact information
Practice address
11520 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-4306
(503) 698-1600
(503) 652-0168
Mailing address
1107 HAZELTINE BLVD, SUITE 200, CHASKA, MN 55318-1009
(952) 361-8000
(952) 361-8058
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NO NUMBER ASSIGNED
OR
Other
Enumeration date
06/17/2006
Last updated
08/22/2020
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