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Organization

KINGSWAY MINSITRIES, LLC

Active
Parent organization
THE LUTHERAN HOME ASSOCIATION
Other names
Kingsway Retirement Living
Organization subpart
Yes

Provider details

NPI number
Legal business name
THE LUTHERAN HOME ASSOCIATION
Authorized official
MR. STEVE WILSON (ADMINISTRATOR)
(952) 873-5900
Entity
Organization

Contact information

Practice address
815 W MAIN ST, BELLE PLAINE, MN 56011-1266
(952) 873-5900
Mailing address
815 W MAIN ST, BELLE PLAINE, MN 56011-1266
(952) 873-5900

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
341550
MN
310400000X
Assisted Living Facility
Primary
341708
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A537908000
MN
Enumeration date
02/03/2009
Last updated
02/03/2009
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