Organization · NPI-2

Beyond Senior Living LLC

Assisted Living Facility · Woodbury, MN

NPI number1003440124
StatusActive
Last updated in NPPESJul 7, 2022

Details

NPI
1003440124
Entity type
Organization (NPI-2)
Legal business name
Beyond Senior Living LLC
Organization subpart
No
Enumeration date
Feb 27, 2020
Certification date
Jul 7, 2022
Last updated
Jul 7, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes

Other names

  • Beyond Senior Care LLC (Former Legal Business Name)

Practice location

6281 Oakwood Rd
Woodbury, MN 55125-2020

Phone 651-200-0857 · Fax 651-200-3084

Mailing address

6281 Oakwood Rd
Woodbury, MN 55125-2020

Phone 651-493-3803 · Fax 651-200-3082

Authorized official

Angelina Senam Sam
Administrator
6512000857

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