Augustana Senior Development II
Organization Active NPI Assisted Living Facility · Mora, MN
NPI 1154639128 · NPPES record last updated Apr 2, 2018
Key facts
- NPI
- 1154639128
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- 349304 (MN)
- Legal business name
- AUGUSTANA SENIOR DEVELOPMENT II
- Practice address
- 170 Valhalla Circle
Mora, MN 55051 - Phone
- (320) 679-4789
- NPI assigned
- Sep 23, 2010
- Organization subpart
- No
Authorized official
- Name
- Craig Kittelson
- Title
- Chief Financial Officer
- Phone
- (612) 238-5205
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- Augustana Senior Development II
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | 349304 | MN | Yes |
Addresses
Primary practice location
170 Valhalla Circle
Mora, MN 55051
Mailing address
170 Valhalla Circle
Mora, MN 55051
Phone (320) 679-4789
Other names
- Eastwood Senior Living
Other providers in Mora, MN
- Heather Alexander
- Matthew Gordon Allen
- Abagail LM Anderson
- Ibkhan Ansine
- Kimberly Ann Apel
- Amber Axtell
- Jamie Rose Bankers
- Samantha Lynn Bednar
- Glen Thomas Bellefeuille
- Benedictine Living Community of Mora
All providers in Mora, MN · Assisted Living Facility in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 2, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.