Latasha Kilgore
Assisted Living Facility in Minneapolis, MN(View on Map)
Full Name
Latasha Kilgore
NPI Number
1720842677
NPI Type
Individual Provider
Gender
Female
Enumeration Date
02/12/2024
Specialties
(Taxonomies)Name
Code
310400000X
385HR2060X
385HR2065X
251E00000X
376G00000X
385H00000X
Primary Taxonomy
Yes
No
No
No
No
No
Contact
Information
Purpose
Mailing
Location
Address
1313 LOGAN AVE N
1313 LOGAN AVE N
City
Minneapolis
Minneapolis
State
MN
MN
Postal Code
55411-3169
55411-3169
Country
US
US
Telephone Number
(612) 999-0908
(612) 999-0908
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 02/12/2024
Provider Address
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Minneapolis, MNSpecialties: Assisted Living Facility (Mental Illness) (Primary)Assisted Living FacilityAssisted Living Facility (Behavioral Disturbances)