Organization
CHP MAPLEWOOD MN TENANT CORP.
Active
Other names
ALF Employer MN2, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY B BRACCO (SENIOR VICE PRESIDENT)
(407) 540-7576
Entity
Organization
Contact information
Practice address
1870 E. SHORE DRIVE, MAPLEWOOD, MN 55109
(651) 777-7784
Mailing address
1870 E. SHORE DRIVE, MAPLEWOOD, MN 55109
(651) 777-7784
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HFID29005
MN
Other
Enumeration date
02/15/2016
Last updated
10/30/2023
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