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NPI Code Detail

MEDICARE: POPLAR BRIDGE HOMES

MEDICARE: POPLAR BRIDGE HOMES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living Facility

General Provider Information

NPI Number : 1285564328
Entity Type Code : Organization
Provider Name (Legal Business Name) : POPLAR BRIDGE HOMES
Provider Business Mailing Address
First Line : 4108 POPLAR BRIDGE RD
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-1602
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4108 POPLAR BRIDGE RD
Second Line :
City : BLOOMINGTON
State : MN
Zip : 55437-1602
Country : US
Telephone Number : 763-607-2072
Fax Number :
Authorized Official
Title or Position : OWNER
Name : NAJMA DHAQANE
Credential :
Telephone Number : 763-607-2072
Provider Enumeration Date : 05/20/2026
Last Update Date : 05/20/2026

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Directions to “POPLAR BRIDGE HOMES ” Practice Location

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