Organization
MEADOW CREEK LLC
Active
Other names
Eosis Meadow Creek
Organization subpart
No
Provider details
NPI number
Authorized official
LEWIS P ZEIDNER PHD (CEO)
(763) 245-8278
Entity
Organization
Contact information
Practice address
17305 MEADOW CREEK LANE, PINE CITY, MN 55063
(763) 444-4838
(763) 444-6007
Mailing address
550 MAIN STREET, SUITE 230, NEW BRIGHTON, MN 55112
(612) 326-7600
(651) 631-3231
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
1033825 2 DS
MN
324500000X
Substance Abuse Rehabilitation Facility
804733
MN
324500000X
Substance Abuse Rehabilitation Facility
Primary
804733 2 CDT
MN
Other
Enumeration date
03/19/2007
Last updated
02/21/2025
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