Organization
MINNESOTA SENIOR LIVING LLC
Active
Parent organization
MINNESOTA SENIOR LIVING LLC
Other names
Meridian Manor
Organization subpart
Yes
Provider details
NPI number
Legal business name
MINNESOTA SENIOR LIVING LLC
Authorized official
RENAE WITSCHEN (REGIONAL DIRECTOR OF OPERATIONS)
(763) 202-1702
Entity
Organization
Contact information
Practice address
163 WAYZATA BLVD W, WAYZATA, MN 55391-1562
(952) 473-3200
Mailing address
915 118TH AVE SE STE 110, BELLEVUE, WA 98005-3875
(425) 559-6301
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
381390
MN
Other
Enumeration date
12/05/2017
Last updated
12/05/2017
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