| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1629198965 | NORTHWEST RESIDENCE, INC. | 4408 69TH AVE N | BROOKLYN CENTER | MN | 554291739 | |||
| 1245679125 | OLSON | APRIL | MARIE | 4408 69TH AVE N | BROOKLYN CENTER | MN | 554291739 | |
| 1194986851 | THOMPSON | ANDREW | J. | 4408 69TH AVE N | BROOKLYN CENTER | MN | 554291739 |