La Bonne Vie, Inc.

NPI 1093882730 - Assisted Living Facility - 310400000X

NPI Details
NPI 1093882730
Enumeration Date 11/29/2006
Last Updated 07/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name TAMARA LISA TAMARA
Position PRESIDENT
Phone (612) 735-8480
Fax
Practice Location
6443 WESTCHESTER CIR
GOLDEN VALLEY MN, 55427-4966, US
Phone (612) 735-8480
Fax
Business Location
2514 CEDARWOOD RDG
MINNETONKA MN, 55305-3139, US
Phone (612) 735-8480
Fax
Toxanomy
Taxonomy Code 310400000X
License State Minnesota
License Number 330876
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According to our database, La Bonne Vie, Inc. NPI is 1093882730, taxonomy code is 310400000X and license number is 330876, license state is located at Minnesota. La Bonne Vie, Inc. physically located at 6443 Westchester Cir, Golden Valley MN, 55427-4966. NPI Number 1033115704 has the healthcare provider type.

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1093882730 NPI number is provided on an as is basis without warranty of any kind. 1093882730 is maintained by the National Plan & Provider Enumeration System. The contents of La Bonne Vie, Inc. are for informational purposes only.