# GREAT OAK SENIOR CARE, INC.

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

## Provider details

- **NPI number:** 1275141541
- **Authorized official:** KEITH DAHLEN (OWNER / PRESIDENT)
- **Authorized official phone:** (952) 767-4925

## Contact information

- **Practice address:** 7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
- **Practice address phone:** (952) 767-4925
- **Mailing address:** 7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
- **Mailing address phone:** (952) 767-4925

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 07/22/2020
- **Last updated:** 09/02/2020