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Organization

ST. THERESE AT OXBOW LAKE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DINAH JOY MARTIN (CAMPUS ADMINISTRATOR)
(763) 493-7007
Entity
Organization

Contact information

Practice address
5200 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4031
(763) 493-7000
(763) 493-7001
Mailing address
5200 OAK GROVE PKWY N, BROOKLYN PARK, MN 55443-4031
(763) 493-7000
(763) 493-7001

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
339337
MN

Other

Enumeration date
05/23/2008
Last updated
05/23/2008
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