Organization
SOJOURN ADULT DAY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS HANCE PENN (OWNER/PARTNER)
(612) 590-9250
Entity
Organization
Contact information
Practice address
5200 MAYWOOD RD, MOUND, MN 55364-1775
(952) 471-6080
Mailing address
5200 MAYWOOD RD, MOUND, MN 55364-1775
(952) 471-6080
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
802258-5-ADC
MN
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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