Organization
LIFE SERVICES GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HONGJOO LEE (OFFICE MANAGER)
(651) 755-2836
Entity
Organization
Contact information
Practice address
4140 DIGHT AVE, MINNEAPOLIS, MN 55406-4513
(651) 755-2836
Mailing address
4140 DIGHT AVE, MINNEAPOLIS, MN 55406-4513
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
09/23/2021
Last updated
09/23/2021
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