NPI 1245396084

Keystone Communities of Prior Lake

Organisation Lodging Provider Prior Lake, MN

Practice location

Address: 4685 Park Nicollet Ave SE, Prior Lake, MN 55372-3926
Phone: (952) 836-2793

Authorised official

Name: Donna Teff
Title: Accounts Supervisor
Phone: (952) 836-2793

Registered specialties

Lodging Provider Primary

Other Service Providers Taxonomy 177F00000X Licence 333604 (MN)

Other Lodging providers in Minnesota →

Registry record

NPI: 1245396084
Entity type: Organization
NPI issued: 28 Dec 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.