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Organization

SUITE LIVING OF PRIOR LAKE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AUDREY MCELWAIN (DIRECTOR)
(651) 770-2273
Entity
Organization

Contact information

Practice address
5800 CREDIT RIVER RD SE, PRIOR LAKE, MN 55372
(651) 770-2273
Mailing address
1824 BUERKLE RD, WHITE BEAR LAKE, MN 55110-5245
(651) 770-2273

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
=========
ASSISTANT LIVING/ MEMORY CARE
MN
Enumeration date
06/14/2021
Last updated
03/24/2023
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