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MARTIN LM LLC

Nursing Yellow Pages

Bloomington, Minnesota

Provider NPI: 1255523858

Organization Information:
Organization Name:  MARTIN LM LLC


Practice Location:
4616 W 102ND ST  BLOOMINGTON, MN 55437 US
Tel: 952-893-9078  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
MN1045533-1

Other Provider Identifiers:

IssuerNumberStateType
228487000MN05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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