NPI 1790886331

Community Assisted Living, INC

Organisation Assisted Living Facility Prior Lake, MN

Practice location

Address: 16670 Franklin Trl SE Suite 120a, Prior Lake, MN 55372-2924
Phone: (952) 440-3955
Fax: (952) 440-3956

Authorised official

Name: Donna Novak
Title: Ceo
Phone: (952) 440-3955

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1790886331
Entity type: Organization
NPI issued: 26 Sep 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.