Organization
THE LODGES COMPANY
Active
Other names
Lodge of Elko, Lodge of Brooklyn Park, Lodge of Burnsville, Lodge of Mendota Heights
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL CROW (TREASURER)
(612) 986-3859
Entity
Organization
Contact information
Practice address
1412 SUMMIT OAKS DR, BURNSVILLE, MN 55337-4744
(612) 986-3859
Mailing address
PO BOX 46104, PLYMOUTH, MN 55446-0104
(952) 222-3395
(612) 524-5494
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/21/2015
Last updated
11/01/2019
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