Organization
BROOKLYN PARK ASSISTED LIVING
Active
Other names
The Lodge of Brooklyn Park
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL CROW (OWNER)
(612) 986-3859
Entity
Organization
Contact information
Practice address
7711 HUMBOLDT AVE N, BROOKLYN PARK, MN 55444-2167
(612) 200-0901
Mailing address
PO BOX 46104, PLYMOUTH, MN 55446-0104
(612) 200-0901
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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