Whalio Doctors

NPI 1033233788

Meadow Creek LLC

Organisation Substance Abuse Rehabilitation Facility Pine City, MN

Practice location

Address
17305 Meadow Creek Lane, Pine City, MN 55063
Phone
(763) 444-4838
Fax
(763) 444-6007
Mailing address
550 Main Street Suite 230, New Brighton, MN 55112

Authorised official

Name
Lewis P Zeidner
Title
Ceo
Phone
(763) 245-8278

Registered specialties (3)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 804733 2 CDT (MN)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 804733 (MN)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 1033825 2 DS (MN)

Registry record

NPI
1033233788
Entity type
Organization
NPI issued
19 Mar 2007
Record last updated
21 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.