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Organization
REM HENNEPIN INC
Active
Organization
REM HENNEPIN INC
Active
Other names
Rem Hennepin Inc Queen
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT IAN COHEN (COO)
(800) 388-5150
Entity
Organization
Contact information
Practice address
614 QUEEN AVENUE SOUTH, MINNEAPOLIS, MN 55405
(952) 922-6776
(952) 922-6885
Mailing address
6600 FRANCE AVE S, EDINA, MN 55435-1805
(952) 922-6776
(952) 922-6885
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
10120482RS
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
639667400
—
MN
Enumeration date
10/25/2006
Last updated
03/04/2023
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