Organization
MOUNT ZION CARE SERVICES LLC
Active
Other names
Mount Zion Care Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
AZIE KHAN RN (ASSISTED LIVING DIRECTOR)
(515) 918-3955
Entity
Organization
Contact information
Practice address
3751 RIDGE AVE, ANOKA, MN 55303-1489
(515) 918-3955
Mailing address
7211 208TH CIR N, FOREST LAKE, MN 55025-2903
(515) 918-3955
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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