Organization
CFHGROUP
Active
Other names
cardenas friendship homes
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT ROY CARDENAS (CEO)
(612) 670-1380
Entity
Organization
Contact information
Practice address
912 KNOB HILL RD, BURNSVILLE, MN 55337-4325
(952) 889-8056
Mailing address
17595 260TH ST, SHAFER, MN 55074-9629
(612) 257-8146
(651) 257-9245
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117075
HEATH PARTNERS BILLING
MN
01
—
4989255
MEDICA BILLING NUMBER
MN
Enumeration date
01/15/2007
Last updated
06/20/2008
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