Organization
SOUTHSIDE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD ALAN KRONFELD (MANAGER, MIS)
(612) 819-5606
Entity
Organization
Contact information
Practice address
2644 ALDRICH AVE S, MINNEAPOLIS, MN 55408-1307
(612) 819-5606
Mailing address
4221 BEVERLY AVE, MINNEAPOLIS, MN 55422-5221
(612) 819-5606
Taxonomy
Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
334535
MN
Other
Enumeration date
01/19/2007
Last updated
08/22/2020
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