GRACEFUL LODGE, LLC

BROOKLYN CENTER, MN
NPI1629616289
Entity TypeOrganization
Authorized ContactDANIEL S. BREWER
Administrator
763-496-9056
Organization Subpart ?No
Primary Taxonomy251E00000X Home Health
Enumeration Date2019-12-13
Last Update Date2019-12-15
Business Address
GRACEFUL LODGE, LLC
6430 JUNE AVE N
BROOKLYN CENTER, MN 55429-2127
Phone number: 763-496-9056
Mailing Address
GRACEFUL LODGE, LLC
3300 COUNTY ROAD 10 STE 320F
BROOKLYN CENTER, MN 55429-3072
Phone number: 763-496-9056
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