CHANGE PLACE LLC; NPI #1568165942

Contact Information

CHANGE PLACE LLC

9020 SHANNON LN
HAMEL, MN 55340-9695

Phone: 612-281-3055
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Lodging	177F00000X

Indicates primary specialty

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NPI Profile & details for CHANGE PLACE LLC

NPI #	`1568165942`
LBN Legal business name	CHANGE PLACE LLC
Authorized official	JEREMY HOVER - (PRESIDENT)
Entity	Organization
Organization subpart ¹	No
Enumeration date	03/23/2023
Last updated	02/02/2024 - About 2 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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CHANGE PLACE LLC

Contact Information

Specialty

Lodging

NPI Profile & details for CHANGE PLACE LLC

Reviews for CHANGE PLACE LLC