NPI 1093882730
La Bonne Vie, INC.
Practice location
- Address
- 6443 Westchester Cir, Golden Valley, MN 55427-4966
- Phone
- (612) 735-8480
- Mailing address
- 2514 Cedarwood Rdg, Minnetonka, MN 55305-3139
Authorised official
- Name
- Tamara Lisa Juntilla
- Title
- President
- Phone
- (612) 735-8480
Registered specialties
Assisted Living Facility
Primary
Registry record
- NPI
- 1093882730
- Entity type
- Organization
- NPI issued
- 29 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.