National Provider Identifier Database

MEADOW CREEK LLC
Substance Abuse Disorder Rehabilitation Facility

A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.


Contact Information

MEADOW CREEK LLC
17305 MEADOW CREEK LANE
PINE CITY, MN55063
Phone: 763-444-4838
Fax: 763-444-6007
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for MEADOW CREEK LLC

NPI Number 1033233788
Legal business name
LBN
MEADOW CREEK LLC
Authorized official LEWIS ZEIDNER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 03/19/2007
Last updated 02/21/2025 - More than a year ago
Sole proprietor1 Not specified
Identifiers
  • MN License #: 1033825 2 DS
  • MN License #: 804733
  • MN License #: 804733 2 CDT

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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