Organization
EMPOWERED RECOVERY SOLUTIONS 'LIFE AFTER' RECOVERY RESIDENCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON TABAKA SW (OWNER/PROGRAM DIRECTOR)
(763) 732-2065
Entity
Organization
Contact information
Practice address
12714 FREMONT AVE, ZIMMERMAN, MN 55398-9406
(763) 732-2065
Mailing address
6314 CEDAR RD, OAK PARK, MN 56357-8529
(763) 732-2065
(763) 732-2065
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
08/11/2026
Last updated
08/11/2026
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