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Organization

MORNING GLORY HOMES INCORPORATED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LUCIA M KOHN RN (OWNER)
(952) 846-8606
Entity
Organization

Contact information

Practice address
18626 CLEAR VIEW DR, MINNETONKA, MN 55345-6078
(952) 846-8606
(952) 294-8121
Mailing address
18626 CLEAR VIEW DR, MINNETONKA, MN 55345-6078
(952) 846-8606
(952) 294-8121

Taxonomy

Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
362790
MN
311ZA0620X
Adult Care Home Facility
Primary
362790
MN
315D00000X
Inpatient Hospice
362790
MN

Other

Enumeration date
09/05/2013
Last updated
09/05/2013
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