NPI 1093050577

Earle Brown Terrace Operations LLC

Organisation Assisted Living Facility Brooklyn Center, MN

Practice location

Address: 6100 Summit Dr N, Brooklyn Center, MN 55430-2151
Phone: (763) 560-6829
Fax: (763) 503-3819
Mailing address: 400 Locust St STE 820, Des Moines, IA 50309-2334

Authorised official

Name: Judi L Buxo
Title: Sr Vp Dir of Asset Management
Phone: (515) 875-4500

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1093050577
Entity type: Organization
NPI issued: 10 Dec 2012
Record last updated: 10 Dec 2012

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.