Organization
VIDELL HEALTHCARE CAMDEN, L.L.C.
Active
Parent organization
VIDELL HEALTHCARE, L.L.C.
Other names
Camden Care Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIDELL HEALTHCARE, L.L.C.
Authorized official
STEPHEN J. LAFORTE (MANAGER)
(253) 277-3197
Entity
Organization
Contact information
Practice address
512 49TH AVE N, MINNEAPOLIS, MN 55430-3621
(253) 277-3197
Mailing address
512 49TH AVE N, MINNEAPOLIS, MN 55430-3621
(612) 287-3473
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
04/19/2013
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