| NPI | 1275717936 |
|---|---|
| Doing Business As | THE LODGE ON SUMMIT OAKS |
| Entity Type | Organization |
| Authorized Contact | GERALD JOHN MCGOWAN CFO 651-319-1295 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: MN Class F Home Care Pr) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2015-01-26 |