Organization
LIVING LIFE ADULT DAY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI C KLOOSTER RN (RN/OWNER)
(507) 343-5433
Entity
Organization
Contact information
Practice address
500 STOWER DR, WORTHINGTON, MN 56187-9565
(507) 343-5433
Mailing address
500 STOWER DR, WORTHINGTON, MN 56187-9565
(507) 343-5433
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
08/21/2012
Last updated
08/21/2012
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