Community Assisted Living, INC
Assisted Living Facility in Prior Lake, MN. Organization (NPI-2).
NPI number1790886331
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1790886331
- Entity type
- Organization (NPI-2)
- Legal business name
- Community Assisted Living, INC
- Organization subpart
- No
- Enumeration date
- Sep 26, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 457428100 | MN | Yes |
Practice location
16670 Franklin Trl SeSuite 120a
Prior Lake, MN 55372-2924
Phone 952-440-3955 · Fax 952-440-3956
Mailing address
16670 Franklin Trl SeSuite 120a
Prior Lake, MN 55372-2924
Authorized official
Donna Novak
Ceo
9524403955
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