NPI 1013089911

Golden Valley Residence

Organisation Assisted Living Facility Golden Valley, MN

Practice location

Address: 1940 Major Dr N, Golden Valley, MN 55422-4155
Phone: (763) 521-4839
Fax: (763) 521-4148
Mailing address: 4205 Lancaster Ln N Suite 109, Plymouth, MN 55441-1700

Authorised official

Name: Marcia Dooner
Title: Administrator
Phone: (763) 550-1774

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 24404 (MN)

Other Assisted Living Facility providers in Minnesota →

Registry record

NPI: 1013089911
Entity type: Organization
NPI issued: 15 Nov 2006
Record last updated: 22 Aug 2020

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.