Organization
GOLDEN VALLEY RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA DOONER (ADMINISTRATOR)
(763) 550-1774
Entity
Organization
Contact information
Practice address
1940 MAJOR DR N, GOLDEN VALLEY, MN 55422-4155
(763) 521-4839
(763) 521-4148
Mailing address
4205 LANCASTER LN N, SUITE 109, PLYMOUTH, MN 55441-1700
(763) 550-1774
(763) 559-9155
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
24404
MN
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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