Organization
NINE MILE CATERED LIVING
Active
Other names
Nine Mile Creek Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN MARIE LARSON (HOUSING MANAGER)
(952) 888-0731
Entity
Organization
Contact information
Practice address
2301 VILLAGE LN, BLOOMINGTON, MN 55431-5810
(952) 888-0731
(952) 884-2191
Mailing address
2301 VILLAGE LN, BLOOMINGTON, MN 55431-5810
(952) 888-0731
(952) 884-2191
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
353396
MN
Other
Enumeration date
02/15/2012
Last updated
02/15/2012
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