Organization
NEW START HOUSING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLEY MARTIN (PRESIDENT)
(612) 760-0542
Entity
Organization
Contact information
Practice address
211 3RD ST NE, LITTLE FALLS, MN 56345-2709
(612) 760-0542
Mailing address
713 MINNEHAHA AVE E STE 323, SAINT PAUL, MN 55106-5440
(612) 760-0542
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77310
—
MN
Enumeration date
10/05/2021
Last updated
10/05/2021
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