Provider Demographics
NPI:1497905467
Name:TODDS PLACE LLC
Entity Type:Organization
Organization Name:TODDS PLACE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:NOUIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:320-453-6747
Mailing Address - Street 1:569 STATE ST N # 303
Mailing Address - Street 2:
Mailing Address - City:EDEN VALLEY
Mailing Address - State:MN
Mailing Address - Zip Code:55329-1112
Mailing Address - Country:US
Mailing Address - Phone:320-453-6747
Mailing Address - Fax:
Practice Address - Street 1:569 STATE ST N # 303
Practice Address - Street 2:
Practice Address - City:EDEN VALLEY
Practice Address - State:MN
Practice Address - Zip Code:55329-1112
Practice Address - Country:US
Practice Address - Phone:320-453-6747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-25
Last Update Date:2008-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility