Organization
OPTIONS RESIDENTIAL, INC
Active
Parent organization
OPTIONS RESIDENTIAL, INC
Other names
Neil House
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIONS RESIDENTIAL, INC
Authorized official
MR. BRIAN SAMMON LADC, LMFT (PRESIDENT)
(612) 226-7120
Entity
Organization
Contact information
Practice address
13710 WASHBURN AVE S, BURNSVILLE, MN 55337-2138
(952) 882-7876
(952) 882-6299
Mailing address
2105 W BURNSVILLE PKWY, BURNSVILLE, MN 55337-4237
(952) 564-3030
(952) 564-3038
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1043461-1-AFC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138003
UCARE
MN
05
—
A630173802
—
MN
Enumeration date
09/24/2009
Last updated
09/24/2009
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