# SEPTEMBER COTTAGE ELDERCARE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114232949
- **Authorized official:** MS. ALANA NICOLE SUNDBERG (OWNER/PROVIDER)
- **Authorized official phone:** (651) 433-4638

## Contact information

- **Practice address:** 14145 205TH ST N, SCANDIA, MN 55073-9583
- **Practice address phone:** (651) 433-4638
- **Mailing address:** 14145 205TH ST N, SCANDIA, MN 55073-9583
- **Mailing address phone:** (651) 433-4638

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | 1057930-2-AFC | MN | Yes |

## Other

- **Enumeration date:** 08/17/2010
- **Last updated:** 08/17/2010