| NPI | 1245807510 |
|---|---|
| Doing Business As | THE LODGE OF BROOKLYN PARK |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CROW Owner 612-986-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |