Organization
BROOKSIDE SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SEELOCHANI STADTHERR (ASSOCIATE VP OF REVENUE CYCLE MGMT)
(952) 855-5041
Entity
Organization
Contact information
Practice address
804 BENSON RD, MONTEVIDEO, MN 56265-1307
(612) 238-5231
Mailing address
7171 OHMS LN, EDINA, MN 55439-2142
(952) 855-5041
(612) 800-5311
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
09/01/2017
Last updated
11/21/2025
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