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General NPI Number Information
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NPI Number | 1487748380
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Entity Type | Organization
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Legal Business Name | RIVER OAKS COLUMBIA HEIGHTS, LLC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 900 42ND AVE NE
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City | COLUMBIA HEIGHTS
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State | MN
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Zip | 55421-5601
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Country | US
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Telephone | 763-782-1612
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Fax | 763-781-5874
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Provider Business Mailing Address
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Address Line | 7437 NARCISSUS LN N
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City | MAPLE GROVE
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State | MN
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Zip | 55311-1726
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Country | US
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Telephone | 763-782-1601
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. CHRISTOPHER KING
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Credential |
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Telephone | 763-258-6284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 332680
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License Number State | MN
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