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Contact Information

TEMPORARY LIVING CENTER
7170 BRYANT LAKE DR
EDEN PRAIRIE, MN55344-3502
 Phone: 952-942-6400
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Treatment, Children

3245S0500X
Indicates primary specialty

NPI Profile & details for TEMPORARY LIVING CENTER

NPI Number 1922275148
LBN Legal business name TEMPORARY LIVING CENTER
Authorized official JACQUE ROBINSON-RICHARD - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2008
Last updated 05/15/2008 - About 18 years ago
Identifiers
MN License # 1010423
MN Other 2719550000 MN ITS
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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