Organization
HIGHLAND PARK OPS LLC
Active
Other names
Keystone Highland
Organization subpart
No
Provider details
NPI number
Authorized official
RYAN NOVACZYK (PRESIDENT)
(952) 241-8204
Entity
Organization
Contact information
Practice address
750 MISSISSIPPI RIVER BLVD S, SAINT PAUL, MN 55116-1006
(651) 698-1111
(651) 698-8688
Mailing address
7625 GOLDEN TRIANGLE DR, SUITE T, EDEN PRAIRIE, MN 55344-3710
(952) 241-8202
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
08/03/2015
Last updated
08/03/2015
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