Organization
ALLIANCE ASSISTED LIVING SERVICES LLC
Active
Other names
Alliance Residences
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN M NYANGENA (CEO)
(763) 442-7139
Entity
Organization
Contact information
Practice address
4945 ALVARADO LN N, PLYMOUTH, MN 55446-3066
(763) 442-7139
Mailing address
4945 ALVARADO LN N, PLYMOUTH, MN 55446-3066
(763) 442-7139
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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