NPI 1952534232
Senior Community Services
Practice location
- Address
- 10709 Wayzata Blvd Suite 111, Minnetonka, MN 55305-5509
- Phone
- (952) 541-1019
- Fax
- (952) 541-0841
Authorised official
- Name
- Benjamin Withhart
- Title
- Chief Executive Officer
- Phone
- (952) 541-1019
Registered specialties
Bus
Primary
Registry record
- NPI
- 1952534232
- Entity type
- Organization
- NPI issued
- 2 Sep 2009
- Record last updated
- 2 Sep 2009
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.