Organization
GOLDEN JUBILEE HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LANCELOT WRAY (CEO)
(612) 607-9998
Entity
Organization
Contact information
Practice address
4016 BLOOMINGTON AVE, MINNEAPOLIS, MINNEAPOLIS, MN 55407-3331
(612) 607-9998
Mailing address
4016 BLOOMINGTON AVE. SOUTH, MINNEAPOLIS, MINNEAPOLIS, MN 55407
(612) 607-9998
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2012
Last updated
05/04/2012
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