Organization
THE FRIENDSHIP HOME COMMUNITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA ELIZABETH JOHANSSON (OWNER/DIRECTOR)
(651) 398-2294
Entity
Organization
Contact information
Practice address
947 LYDIA DR W, ROSEVILLE, MN 55113-1923
(651) 398-2294
(651) 528-6216
Mailing address
947 LYDIA DR W, ROSEVILLE, MN 55113-1923
(651) 398-2294
(651) 528-6216
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
24337
MN
Other
Enumeration date
05/20/2010
Last updated
05/20/2010
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