Whalio Doctors

NPI 1093882730

La Bonne Vie, INC.

Organisation Assisted Living Facility Golden Valley, MN

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
Nursing & Custodial Care Facilities Taxonomy 310400000X Licence 330876 (MN)

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.