Organization
MARKET PLAZA CONSOLIDATED, LLC
Active
Other names
Village Shores
Organization subpart
No
Provider details
NPI number
Authorized official
NIKI BALLINGRUD RN (RN)
(612) 720-0591
Entity
Organization
Contact information
Practice address
6501 WOODLAKE DR, RICHFIELD, MN 55423-1392
(612) 861-1186
Mailing address
9759 GABLE DR, EDEN PRAIRIE, MN 55347-4329
(612) 720-0591
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
12/31/2021
Last updated
12/31/2021
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