Organization
AUGUSTANA REGENT AT BURNSVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
14500 REGENT LN, BURNSVILLE, MN 55306-5556
(952) 898-1910
Mailing address
7171 OHMS LN, EDINA, MN 55439-2142
(952) 855-5041
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553927000
—
MN
Enumeration date
07/18/2007
Last updated
03/10/2020
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