Keystone Communities Of Prior Lake

NPI 1245396084 - Lodging - 177F00000X

NPI Details
NPI 1245396084
Enumeration Date 12/28/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name DONNA DONNA
Position ACCOUNTS SUPERVISOR
Phone (952) 836-2793
Fax
Practice Location
4685 PARK NICOLLET AVE SE
PRIOR LAKE MN, 55372-3926, US
Phone (952) 836-2793
Fax
Business Location
4685 PARK NICOLLET AVE SE
PRIOR LAKE MN, 55372-3926, US
Phone
Fax
Toxanomy
Taxonomy Code 177F00000X
License State Minnesota
License Number 333604
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According to our database, Keystone Communities Of Prior Lake NPI is 1245396084, taxonomy code is 177F00000X and license number is 333604, license state is located at Minnesota. Keystone Communities Of Prior Lake physically located at 4685 Park Nicollet Ave Se, Prior Lake MN, 55372-3926. NPI Number 1033115704 has the healthcare provider type.

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1245396084 NPI number is provided on an as is basis without warranty of any kind. 1245396084 is maintained by the National Plan & Provider Enumeration System. The contents of Keystone Communities Of Prior Lake are for informational purposes only.