Organization
EDINA CARE RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARCIA DOONER (EXECUTIVE DIRECTOR)
(763) 550-1774
Entity
Organization
Contact information
Practice address
6802 DOVRE DR, EDINA, MN 55436-1715
(952) 988-9900
(952) 988-0061
Mailing address
4205 LANCASTER LN N, SUITE 109, PLYMOUTH, MN 55441-1700
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
21434
MN
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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