Organization
ISAIAH RESIDENTIAL CARE SERVICES LLC
Active
Other names
Isaiah Residential Care Services
Organization subpart
No
Provider details
NPI number
Authorized official
LUCRECIA DENNIS RN (OWNER)
(612) 310-2785
Entity
Organization
Contact information
Practice address
9200 12TH AVE S, BLOOMINGTON, MN 55425-2204
(612) 310-2785
Mailing address
9200 12TH AVE S, BLOOMINGTON, MN 55425-2204
(612) 310-2785
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
Other
Enumeration date
10/28/2022
Last updated
10/28/2022
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