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Organization
COLEMAN INVESTMENT
Active
Organization
COLEMAN INVESTMENT
Active
Parent organization
9781267
Other names
Coleman Investment
Organization subpart
Yes
Provider details
NPI number
Legal business name
9781267
Authorized official
ALBERT COLEMAN SR. 05-29-1959 (ADMIN)
(612) 968-6205
Entity
Organization
Contact information
Practice address
4001 WILLOW RD N, BROOKLYN PARK, MN 55443-1239
(612) 968-6205
Mailing address
4001 WILLOW RD N, BROOKLYN PARK, MN 55443-1239
(612) 968-6205
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9781267
TIN
MN
Enumeration date
01/29/2009
Last updated
01/29/2009
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