NPI 1316515638

Suite Living of Prior Lake

Organisation Assisted Living Facility Prior Lake, MN

Practice location

Address: 5800 Credit River Rd SE, Prior Lake, MN 55372
Phone: (651) 770-2273
Mailing address: 1824 Buerkle Rd, White Bear Lake, MN 55110-5245

Authorised official

Name: Audrey McElwain
Title: Director
Phone: (651) 770-2273

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1316515638
Entity type: Organization
NPI issued: 14 Jun 2021
Record last updated: 24 Mar 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.