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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
692 BELMONT LN W, ROSEVILLE, MN 55113-6470
(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
1030626-1-RS
MN

Other

Enumeration date
12/20/2006
Last updated
08/22/2020
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