Organization
AUGUSTANA EMERALD CARE LLC
Active
Other names
Augustana Emerald Crest of Minnetonka
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (DIRECTOR OF REIMBURSEMENT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
13401 LAKE STREET EXT, MINNETONKA, MN 55305-4905
(952) 933-9903
Mailing address
13401 LAKE STREET EXT, MINNETONKA, MN 55305-4905
(952) 933-9903
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
347701
MN
Other
Enumeration date
12/23/2009
Last updated
04/06/2023
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