Organization
J & P INTEGRITY SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PABALELO GAOLATLHE TSHANE (MANAGER)
(612) 251-8228
Entity
Organization
Contact information
Practice address
1915 HIGHWAY 36 W STE 11, ROSEVILLE, MN 55113-2709
(612) 460-0527
Mailing address
1915 HIGHWAY 36 W STE 11, ROSEVILLE, MN 55113-2709
(612) 460-0527
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/19/2019
Last updated
10/19/2019
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