Provider Demographics
NPI:1417617291
Name:VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA ASSISTED LIVING COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ASS'T SECRETARY
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:GAVIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-428-7840
Mailing Address - Street 1:7485 OFFICE RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-3690
Mailing Address - Country:US
Mailing Address - Phone:612-428-7840
Mailing Address - Fax:952-941-0428
Practice Address - Street 1:11400 4TH ST N
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-3603
Practice Address - Country:US
Practice Address - Phone:952-283-2600
Practice Address - Fax:952-283-2606
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-21
Last Update Date:2021-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility