Organization
FMG PORTLAND AVENUE SOUTH MINNESOTA LLC
Active
Other names
Richfield Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID KEATING (AUTHORIZED OFFICIAL)
(414) 908-8058
Entity
Organization
Contact information
Practice address
7727 PORTLAND AVE, RICHFIELD, MN 55423-4320
(612) 861-1691
Mailing address
7727 PORTLAND AVE, RICHFIELD, MN 55423-4320
(612) 861-1691
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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