Organization · NPI-2

Ahr Woodbury Mn Sh Trs Sub, LLC

Assisted Living Facility · Woodbury, MN

NPI number1861331316
StatusActive
Last updated in NPPESMar 27, 2026

Details

NPI
1861331316
Entity type
Organization (NPI-2)
Legal business name
Ahr Woodbury Mn Sh Trs Sub, LLC
Organization subpart
No
Enumeration date
Mar 27, 2026
Certification date
Mar 27, 2026
Last updated
Mar 27, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
310400000X Assisted Living Facility––Yes
311500000X Alzheimer Center (Dementia Center)––

Practice location

289 Karen Dr
Woodbury, MN 55129-5714

Phone 651-412-3461

Mailing address

18191 Von Karman Ave Ste 300
Irvine, CA 92612-7106

Phone 949-270-9200

Authorized official

Gabriel Willhite
Executive Vice President
9492709200

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