Organization
CHRIS JENSEN LLC
Active
Other names
Chris Jensen Health & Rehabilition Center
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SHVETZOFF HENNESSEY (MANAGER)
(763) 537-5700
Entity
Organization
Contact information
Practice address
2501 RICE LAKE RD, DULUTH, MN 55811-4819
(218) 625-6411
(218) 625-6452
Mailing address
12900 WHITEWATER DR STE 201, HOPKINS, MN 55343-9407
(763) 537-5700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
332292
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175040200
—
MN
01
—
7100488
MEDICA
MN
01
—
9764CH
BLUE CROSS
MN
01
—
NH0143
UCARE
MN
Enumeration date
01/04/2007
Last updated
04/03/2020
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