Northern Lights Athlete Village
Northern Lights Athlete Village is a Case Management Agency in Bloomington, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.
- Licensed in
- MN
- In the registry since
- 2007
Practice location Address checks out
8109 Bryant Ave SBloomington, MN 55420-5711
Phone: (952) 888-4311
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Management Agency (primary) | Taxonomy 251B00000X · Licence 1411 (MN) |
|---|
Record details
| NPI number | 1376727735 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Stephanie Smith — Ceo · (952) 888-4311 |
| NPI enumerated | December 20, 2007 |
| Last updated in NPPES | December 20, 2007 |
| Mailing address | 8109 Bryant Ave S, Bloomington, MN 55420-5711 |
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