NPI 1003620055

Prairie Residence Care, LLC

Organisation Assisted Living Facility (Mental Illness) Eden Prairie, MN

Practice location

Address: 12570 Crowfoot CT, Eden Prairie, MN 55344-3937
Phone: (612) 461-2158

Authorised official

Name: Aden Rashid
Title: Owner
Phone: (612) 461-2158

Registered specialties

Assisted Living Facility (Mental Illness) Primary

Nursing & Custodial Care Facilities Taxonomy 3104A0625X

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Registry record

NPI: 1003620055
Entity type: Organization
NPI issued: 1 Feb 2025
Record last updated: 1 Feb 2025

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.