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Organization
AXIS MINNESOTA, INC.
Active
Organization
AXIS MINNESOTA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE MARIE SCHOLLJEGERDES (CFO)
(651) 774-5940
Entity
Organization
Contact information
Practice address
651 ELDRIDGE AVE W, ROSEVILLE, MN 55113-6427
(651) 774-5940
(651) 774-8126
Mailing address
2345 RICE ST, SUITE 112, ROSEVILLE, MN 55113-3741
(651) 774-5940
(651) 774-8126
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
1028046-1-RS
MN
Other
Enumeration date
12/20/2006
Last updated
08/22/2020
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