| NPI | 1619001278 |
|---|---|
| Doing Business As | LAVINE PLACE |
| Entity Type | Organization |
| Authorized Contact | ARMANDO CAMACHO Presiden & CEO 952-912-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care (Licence: MN 804220) |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2014-03-28 |