Organization
CORNERSTONE ASSISTED LIVING OF PLYMOUTH, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (ASSOCIATE VP OF REVENUE CYCLE MGMT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
3750 LAWNDALE LN N, PLYMOUTH, MN 55446-2967
(763) 550-0333
(763) 390-1888
Mailing address
3750 LAWNDALE LN N, PLYMOUTH, MN 55446-2967
(763) 550-0333
(763) 390-1888
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
329138
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
329138
MINNEOSTA STATE LICENSE
MN
05
—
829619700
—
MN
Enumeration date
10/07/2005
Last updated
11/21/2025
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