NPI 1609276724

North Star Club, LLC

Organisation Adult Care Home Facility Bloomington, MN

Practice location

Address: 8040 Old Cedar Ave S, Bloomington, MN 55425-1234
Phone: (952) 542-6219

Authorised official

Name: Jason Fischer
Title: Manager
Phone: (952) 426-6219

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 1066119 (MN)

Other Custodial Care Facility providers in Minnesota →

Registry record

NPI: 1609276724
Entity type: Organization
NPI issued: 26 Aug 2014
Record last updated: 26 Aug 2014

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.