Organization
AUGUSTANA SENIOR DEVELOPMENT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
14500 REGENT LN, BURNSVILLE, MN 55306-5556
(952) 898-8700
Mailing address
1007 E 14TH ST, MINNEAPOLIS, MN 55404-1314
(612) 238-5231
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/19/2007
Last updated
10/21/2019
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