Organization
RS EDEN INC
Active
Other names
Portland Village
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN CAIN (PRESIDENT)
(612) 287-1600
Entity
Organization
Contact information
Practice address
1829 PORTLAND AVE, MINNEAPOLIS, MN 55404-1812
(612) 872-9045
(612) 874-1471
Mailing address
1931 W BROADWAY AVE, MINNEAPOLIS, MN 55411-2400
(612) 287-1600
(612) 287-1616
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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