Provider Demographics
NPI:1801448733
Name:MFF MINNETONKA LLC
Entity type:Organization
Organization Name:MFF MINNETONKA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMMUNITY MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:RADMACHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-988-0011
Mailing Address - Street 1:14505 MINNETONKA DR
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55345-2210
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:14505 MINNETONKA DR
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55345-2210
Practice Address - Country:US
Practice Address - Phone:952-988-0011
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility