LONG LAKE ASSISTED LIVING; NPI #1851470314

Contact Information

LONG LAKE ASSISTED LIVING

345 N BROWN RD
LONG LAKE, MN 55356

Phone: 953-473-2527
Fax: 952-404-9701
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Assisted Living Facility	310400000X

Indicates primary specialty

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NPI Profile & details for LONG LAKE ASSISTED LIVING

NPI #	`1851470314`
LBN Legal business name	LONG LAKE ASSISTED LIVING
Authorized official	KATI GRENGS - (DIRECTOR OF OPERATIONS)
Entity	Organization
Organization subpart ¹	No
Enumeration date	11/03/2006
Last updated	08/15/2007 - About 19 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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