Waterford Manor

LBN: Minnesota Senior Living Llc
Waterford Manor is an health care organization with primary practice located at 6288 Louisiana Ct N , Brooklyn Park MN 55428-2550. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Minnesota Senior Living Llc can be contacted via phone (763) 537-3382, or through Mullen, Mark via phone (425) 559-6325.

Contact Information

Primary practice address
6288 Louisiana Ct N Brooklyn Park MN 55428-2550
Phone: (763) 537-3382
Fax: (763) 535-2075
Website:
Map and Directions
Authorized official contact:
Name: Mullen, Mark
Phone: (425) 559-6325

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X

Profile Details

NPI number 1356686836
LBN Legal business name Minnesota Senior Living Llc
DBA Doing business as Waterford Manor
Authorized official Mullen, Mark
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 10th, 2012
Last updated Apr 27th, 2017 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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