Organization
ELEVATED ASSISTED LIVING, LLC
Active
Other names
Project Caring
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID A ITMAN (OWNER/CEO)
(612) 770-3878
Entity
Organization
Contact information
Practice address
14410 21ST ST N, WEST LAKELAND, MN 55082-2514
(612) 770-3878
Mailing address
7672 W 84TH ST, BLOOMINGTON, MN 55438-1304
(612) 770-3878
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/23/2019
Last updated
02/23/2019
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