National Provider Identifier Database

NORTHSIDE LIFE CARE CENTER
Voluntary or Charitable


Contact Information

NORTHSIDE LIFE CARE CENTER
4367 THOMAS AVE N
MINNEAPOLIS, MN55412-1005
Phone: 912-522-6589
Fax:
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for NORTHSIDE LIFE CARE CENTER

NPI Number 1891926838
Legal business name
LBN
NORTHSIDE LIFE CARE CENTER
Authorized official CINDY LORSUNG - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 08/06/2009
Last updated 08/06/2009 - About 17 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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