Organization
BRECK HOME RESIDENTIAL CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER MORGAN MS, RN (OWNER/OPERATOR)
(612) 702-8801
Entity
Organization
Contact information
Practice address
312 W 95TH ST, BLOOMINGTON, MN 55420-4311
(612) 702-8801
Mailing address
312 W 95TH ST, BLOOMINGTON, MN 55420-4311
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
352080
MN
Other
Enumeration date
03/15/2011
Last updated
03/15/2011
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