Organization
EXTENDED CARE SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANTANA JUELZ CONDON (OWNER)
(612) 499-9671
Entity
Organization
Contact information
Practice address
22530 FOREST RIDGE DR, LAKEVILLE, MN 55044-8046
(612) 499-9671
Mailing address
22530 FOREST RIDGE DR, LAKEVILLE, MN 55044-8046
(612) 499-9671
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
10/23/2024
Last updated
10/23/2024
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