| NPI | 1649669193 |
|---|---|
| Doing Business As | LODGE OF ELKO |
| Doing Business As | LODGE OF BURNSVILLE |
| Doing Business As | LODGE OF BROOKLYN PARK |
| Doing Business As | LODGE OF MENDOTA HEIGHTS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL CROW Treasurer 612-986-3859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2019-11-01 |