ILHC OF EAGAN, LLC
Assisted Living Facility
Eagan, Minnesota
Provider NPI: 1578504437
Organization Information:Organization Name: ILHC OF EAGAN, LLC
Practice Location:
1380 MARICE DR EAGAN, MN 55121 US
Tel: 651-688-9999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
1380 MARICE DR EAGAN, MN 55121 US
Tel: 651-688-9999 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 310400000X | Nursing & Custodial Care Facilities Assisted Living Facility | MN | 329867 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
344718900 | MN | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin