MEDICINE LAKE MANOR

Assisted Living Facility

Active Organization
NPI: 1104221605

Practice Address

10230 28TH AVE N
Plymouth, MN 55441

Phone: (763) 546-4017

Specialties

Specialty Code Primary License
Assisted Living Facility 310400000X Yes 370431 (MN)

Frequently Asked Questions

NPI 1104221605 is the National Provider Identifier for MEDICINE LAKE MANOR, a Assisted Living Facility provider located in Plymouth, MN. This NPI was enumerated on October 27, 2014.

Quick Facts

NPI
1104221605
Type
Organization
Enumerated
Oct 27, 2014
Last Updated
Oct 27, 2014

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