Organization
KINDRED SUPPORTS LLC
Active
Other names
Kindred Supports, Touching Lives Community
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY GJORVAD (OWNER)
(612) 812-9786
Entity
Organization
Contact information
Practice address
5554 WOODSIDE RD SE, PRIOR LAKE, MN 55372-2044
(612) 810-9796
Mailing address
4220 157TH ST W, ROSEMOUNT, MN 55068-4600
(612) 812-9786
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/25/2022
Last updated
05/25/2022
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