Organization
SEPTEMBER COTTAGE ELDERCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALANA NICOLE SUNDBERG (OWNER/PROVIDER)
(651) 433-4638
Entity
Organization
Contact information
Practice address
14145 205TH ST N, SCANDIA, MN 55073-9583
(651) 433-4638
Mailing address
14145 205TH ST N, SCANDIA, MN 55073-9583
(651) 433-4638
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1057930-2-AFC
MN
Other
Enumeration date
08/17/2010
Last updated
08/17/2010
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