Provider Demographics
NPI:1659082246
Name:TWIN CITIES ASSISTED LIVING INC.
Entity Type:Organization
Organization Name:TWIN CITIES ASSISTED LIVING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:AMBER
Authorized Official - Middle Name:
Authorized Official - Last Name:KARG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-440-8001
Mailing Address - Street 1:5832 LINCOLN DR # 258
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55436-1616
Mailing Address - Country:US
Mailing Address - Phone:612-987-7578
Mailing Address - Fax:541-960-3817
Practice Address - Street 1:2818 FREMONT AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-1311
Practice Address - Country:US
Practice Address - Phone:612-440-8001
Practice Address - Fax:541-960-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health