Organization
HEAVENLY HILLS ADULT DAY CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARISA KHARCHENKO (OWNER)
(612) 298-5518
Entity
Organization
Contact information
Practice address
13811 114TH AVE N, DAYTON, MN 55369
(612) 298-5518
(763) 425-7671
Mailing address
13811 114TH AVE N, DAYTON, MN 55369
(612) 298-5518
(763) 425-7671
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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