NPI 1003590209

Smc Ahston INC

Organisation Assisted Living Facility Brooklyn Center, MN

Practice location

Address: 6642 Dupont Ave N, Brooklyn Center, MN 55430-1808
Phone: (763) 566-0831
Mailing address: 7100 Northland Cir N STE 207, Brooklyn Park, MN 55428-1500

Authorised official

Name: Roger Bonny
Title: Ceo
Phone: (860) 967-9340

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003590209
Entity type: Organization
NPI issued: 9 Jun 2023
Record last updated: 13 Jun 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.