Organization
GOPHER (MINNETONKA) TRS LLC
Active
Other names
Havenwood of Minnetonka
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA SIMS (PRESIDENT)
(214) 754-8623
Entity
Organization
Contact information
Practice address
17710 OLD EXCELSIOR BLVD, MINNETONKA, MN 55345-4113
(952) 209-1440
Mailing address
17710 OLD EXCELSIOR BLVD, MINNETONKA, MN 55345-4113
(952) 209-1440
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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