Breck Home Residential Care Center, LLC
Assisted Living Facility in Bloomington, MN. Organization (NPI-2).
NPI number1992004071
StatusActive
Last updated in NPPESMar 15, 2011
Details
- NPI
- 1992004071
- Entity type
- Organization (NPI-2)
- Legal business name
- Breck Home Residential Care Center, LLC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2011
- Last updated
- Mar 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | 352080 | MN | Yes |
Practice location
312 W 95th StBloomington, MN 55420-4311
Phone 612-702-8801
Mailing address
312 W 95th StBloomington, MN 55420-4311
Authorized official
Jennifer Morgan
Owner/Operator
6127028801
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