Healthcare Provider Details
I. General information
NPI: 1851227433
Provider Name (Legal Business Name): RIVER OAKS BROOKLYN CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6001 EARLE BROWN DR
BROOKLYN CENTER MN
55430-2522
US
IV. Provider business mailing address
6001 EARLE BROWN DR
BROOKLYN CENTER MN
55430-2522
US
V. Phone/Fax
- Phone: 763-566-1495
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3104A0625X |
| Taxonomy | Assisted Living Facility (Mental Illness) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTOPHER
KING
Title or Position: CHIEF OPERATING OFFICER / OWNER
Credential:
Phone: 763-258-6284