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Organization

LCS CHAMPLIN LLC

Active
Other names
Champlin Shores
Organization subpart
No

Provider details

NPI number
Authorized official
GELYNNA SHAW (SVP)
(615) 394-2187
Entity
Organization

Contact information

Practice address
119 HAYDEN LAKE RD E, CHAMPLIN, MN 55316-1547
(763) 712-0118
(763) 712-0278
Mailing address
119 HAYDEN LAKE RD E, CHAMPLIN, MN 55316-1547
(763) 712-0118
(763) 712-0278

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary

Other

Enumeration date
09/25/2019
Last updated
09/25/2019
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