Organization
SHAKOPEE MOBILE MEALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD LEE HARCEY (BOOKKEEPER)
(952) 445-3058
Entity
Organization
Contact information
Practice address
1963 BOULDER PT, SHAKOPEE, MN 55379-3618
(952) 445-3058
Mailing address
1963 BOULDER PT, SHAKOPEE, MN 55379-3618
(952) 445-3058
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A470159300
HEALTH PARTNERS
MN
Enumeration date
03/19/2010
Last updated
03/19/2010
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