Lotus Moon, LLC
Lotus Moon, LLC is a Meals Provider in Minnetonka, Minnesota. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 4
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
14667 Lake Street ExtMinnetonka, MN 55345-2926
Phone: (612) 584-0917
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X |
|---|---|
| Meals Provider | Taxonomy 174200000X |
| Lodging Provider | Taxonomy 177F00000X |
| Nursing Care Agency | Taxonomy 251J00000X |
Record details
| NPI number | 1295339166 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Pesey Kuoch — Owner · (612) 535-7292 |
| Other names | Lotus Moon |
| NPI enumerated | November 22, 2020 |
| Last updated in NPPES | November 22, 2020 |
| Certification date | November 22, 2020 |
| Mailing address | 15401 Lake Street Ext, Minnetonka, MN 55345-1914 |