Organization
MAINS'L SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TERESA C. WILLIAMS (PRESIDENT/CEO)
(763) 494-4553
Entity
Organization
Contact information
Practice address
7000 78TH AVE N, BROOKLYN PARK, MN 55445-2744
(763) 494-4553
(763) 416-9198
Mailing address
7000 78TH AVE N, BROOKLYN PARK, MN 55445-2744
(763) 494-4553
(763) 416-9198
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
M606270900
—
MN
Enumeration date
03/26/2012
Last updated
04/24/2018
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