Valhalla Place, Llc

LBN: Valhalla Place, Llc
Valhalla Place, Llc is an health care organization with primary practice located at 2807 Brookdale Dr , Brooklyn Park MN 55444-1844. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Ambulatory Health Care Facilities / Methadone. Ambulatory Health Care Facilities / Methadone is the primary health care specialty. Valhalla Place, Llc can be contacted via phone (651) 925-8200, or through Nelson, Paula via phone (612) 326-7555.

Contact Information

Primary practice address
2807 Brookdale Dr Brooklyn Park MN 55444-1844
Phone: (651) 925-8200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nelson, Paula
Phone: (612) 326-7555

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 15731 Minnesota
Ambulatory Health Care Facilities / Methadone 261QM2800X 1063405 Minnesota

Profile Details

NPI number 1801149505
LBN Legal business name Valhalla Place, Llc
DBA Doing business as
Authorized official Nelson, Paula
Entity Organization
Organization subpart 1 No
Enumeration date Oct 18th, 2012
Last updated Nov 16th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1801149505 NPPES
Minnesota MEDICAID 260163778

Popular Providers