Organization
SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANKUR CHOPRA (OWNER)
(763) 400-1819
Entity
Organization
Contact information
Practice address
7949 BRUNSWICK AVE N, BROOKLYN PARK, MN 55443-2037
(763) 400-1819
Mailing address
18573 70TH AVE N, MAPLE GROVE, MN 55311-2261
(763) 400-1819
(763) 343-8618
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
310400000X
Assisted Living Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
09/09/2022
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