# CENTRAL LAKES RECUPERATIVE CARE

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

## Provider details

- **NPI number:** 1528863958
- **Authorized official:** LAKEESHA JONES (DIRECTOR)
- **Authorized official phone:** (612) 310-3806

## Contact information

- **Practice address:** 1529 WENTWORTH AVE, SOUTH ST PAUL, MN 55075-1668
- **Practice address phone:** (612) 310-3806
- **Mailing address:** 1529 WENTWORTH AVE, SOUTH ST PAUL, MN 55075-1668
- **Mailing address phone:** (612) 310-3806

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | — | — | Yes |

## Other

- **Enumeration date:** 02/18/2025
- **Last updated:** 02/18/2025