Organization
CHAMPIONS VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LALI GALAN (PRESIDENT & CEO)
(612) 817-5100
Entity
Organization
Contact information
Practice address
7899 ALDEN WAY NE, FRIDLEY, MN 55432-2408
(612) 817-5100
Mailing address
15570 59TH AVE N, PLYMOUTH, MN 55446-3695
(612) 817-5100
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/14/2020
Last updated
05/14/2020
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