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Organization

ARBOR LAKES SENIOR LIVING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LANCE E LEMIEUX (PRESIDENT)
(651) 454-4801
Entity
Organization

Contact information

Practice address
12001 80TH AVENUE NORTH, MAPLE GROVE, MN 55369
(763) 478-2141
Mailing address
2285 WATERS DR, MENDOTA HEIGHTS, MN 55120-1363
(651) 454-4801

Taxonomy

Speciality
Code
Description
License number
State
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
Primary
349940
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
349937
STATE HOUSING WITH SERVICES
MN
01
349940
MINNESOTA DEPARTMENT OF HEALTH
MN
Enumeration date
02/09/2011
Last updated
02/09/2011
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