Medicine Lake Manor
Medicine Lake Manor is an Assisted Living Facility in Plymouth, Minnesota. Licensed in Minnesota. Registered with an NPI since 2014.
- Licensed in
- MN
- In the registry since
- 2014
Practice location Address checks out
10230 28th Ave NPlymouth, MN 55441
Phone: (763) 546-4017
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Assisted Living Facility (primary) | Taxonomy 310400000X · Licence 370431 (MN) |
|---|
Record details
| NPI number | 1104221605 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alla Vaynberg — President/Ceo · (763) 546-4017 |
| NPI enumerated | October 27, 2014 |
| Last updated in NPPES | October 27, 2014 |
| Mailing address | 10230 28th Ave N, Plymouth, MN 55441-3265 |
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