Organization
KEYSTONE COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY PLASENCIA (BILLING MANAGER)
(612) 623-3363
Entity
Organization
Contact information
Practice address
2000 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-5125
(612) 623-3363
Mailing address
2000 SAINT ANTHONY AVE, SAINT PAUL, MN 55104-5125
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A926900000
—
MN
Enumeration date
11/20/2015
Last updated
11/20/2015
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