PROVENANCE HOMES 1, LLC

MINNEAPOLIS, MN
NPI1356191928
Entity TypeOrganization
Authorized ContactMARK CALEB GLOBUS
Chief Manager
612-940-2104
Organization Subpart ?No
Primary Taxonomy310400000X Assisted Living Facility
Enumeration Date2024-03-25
Last Update Date2024-03-25
Business Address
PROVENANCE HOMES 1, LLC
3641 28TH AVE S UNIT 1
MINNEAPOLIS, MN 55406-2515
Phone number: 612-940-2104
Mailing Address
PROVENANCE HOMES 1, LLC
1650 W END BLVD STE 100
ST LOUIS PARK, MN 55416-5369
Phone number: 612-940-2104
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