Provider Demographics
NPI:1407096993
Name:HEART HEALTHY LIVING EXERCISE CLASSES, INC.
Entity Type:Organization
Organization Name:HEART HEALTHY LIVING EXERCISE CLASSES, INC.
Other - Org Name:HEART HEALTHY LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LORENE
Authorized Official - Middle Name:K
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RN,ACNS-BC
Authorized Official - Phone:612-242-1878
Mailing Address - Street 1:120 CHOCTAW CIR
Mailing Address - Street 2:
Mailing Address - City:CHANHASSEN
Mailing Address - State:MN
Mailing Address - Zip Code:55317-9505
Mailing Address - Country:US
Mailing Address - Phone:612-242-1878
Mailing Address - Fax:
Practice Address - Street 1:7300 YORK AVE S
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4739
Practice Address - Country:US
Practice Address - Phone:612-242-1878
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-24
Last Update Date:2009-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0404XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Cardiac Facilities