NPI 1215635198

Genesis Assisted Living LLC

Organisation Assisted Living Facility Shakopee, MN

Practice location

Address: 1019 Madison St S, Shakopee, MN 55379-2056
Phone: (952) 600-7337
Mailing address: 3735 158th St W, Rosemount, MN 55068-3843

Authorised official

Name: Joan Misoi
Title: Manager
Phone: (952) 465-7877

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1215635198
Entity type: Organization
NPI issued: 20 Feb 2023
Record last updated: 17 Apr 2023

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.