Organization
ALF EMPLOYER MINNESOTA, LLC
Active
Other names
The Shores of Lake Phalen
Organization subpart
No
Provider details
NPI number
Authorized official
FAYE GORDON (PARALEGAL)
(509) 965-4240
Entity
Organization
Contact information
Practice address
1870 E SHORE DR, MAPLEWOOD, MN 55109-4248
(651) 777-7787
Mailing address
78 CENTENNIAL LOOP, SUITE E, EUGENE, OR 97401-7909
(547) 373-7747
(541) 746-5781
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
371210
MN
Other
Enumeration date
07/23/2015
Last updated
07/23/2015
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