Organization
SENIOR ONE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER MARIE LEOPOLD (CEO)
(612) 599-2528
Entity
Organization
Contact information
Practice address
5711 164TH LN NW, RAMSEY, MN 55303-5826
(612) 599-2528
Mailing address
5711 164TH LN NW, RAMSEY, MN 55303-5826
(612) 599-2528
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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