Provider Demographics
NPI:1376295535
Name:BATH VENTURES OF MN LLC DBA FIVE STAR BATH SOLUTIONS
Entity Type:Organization
Organization Name:BATH VENTURES OF MN LLC DBA FIVE STAR BATH SOLUTIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRUCE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRANK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-723-8497
Mailing Address - Street 1:350 COUNTY ROAD D E
Mailing Address - Street 2:
Mailing Address - City:LITTLE CANADA
Mailing Address - State:MN
Mailing Address - Zip Code:55117-1275
Mailing Address - Country:US
Mailing Address - Phone:612-723-8497
Mailing Address - Fax:
Practice Address - Street 1:350 COUNTY ROAD D E
Practice Address - Street 2:
Practice Address - City:LITTLE CANADA
Practice Address - State:MN
Practice Address - Zip Code:55117-1275
Practice Address - Country:US
Practice Address - Phone:612-723-8497
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-19
Last Update Date:2022-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty