Provider Demographics
NPI:1457529216
Name:SZR EDINA ASSISTED LIVING OPCO, L.L.C.
Entity type:Organization
Organization Name:SZR EDINA ASSISTED LIVING OPCO, L.L.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ASSISTED LIVING COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:CONNER
Authorized Official - Middle Name:
Authorized Official - Last Name:CROUCH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-927-8000
Mailing Address - Street 1:7128 FRANCE AVE., S.
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55435
Mailing Address - Country:US
Mailing Address - Phone:952-927-8000
Mailing Address - Fax:952-927-6400
Practice Address - Street 1:7128 FRANCE AVE S
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-4301
Practice Address - Country:US
Practice Address - Phone:952-927-8000
Practice Address - Fax:952-927-6400
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-14
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility