Organization
PRESBYTERIAN HOMES OF ARDEN HILLS INC
Active
Other names
Johanna Shores
Organization subpart
No
Provider details
NPI number
Authorized official
MARK MEYER (CFO)
(651) 631-6102
Entity
Organization
Contact information
Practice address
3220 LAKE JOHANNA BLVD, ARDEN HILLS, MN 55112
(651) 631-6100
(651) 631-6046
Mailing address
3220 LAKE JOHANNA BLVD, ARDEN HILLS, MN 55112-7944
(651) 631-6119
(651) 631-6122
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
369842400
—
MN
01
—
712686
MEDICA
—
01
—
NH0085
UCARE
MN
Enumeration date
09/11/2006
Last updated
11/11/2025
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