Organization
PRECIOUS LIVES HOME VADNAIS HEIGHTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENELLEN DE LOS SANTOS (OWNER)
(651) 468-8438
Entity
Organization
Contact information
Practice address
60 SUZANNE AVE, VADNAIS HEIGHTS, MN 55127-4116
(651) 468-8438
Mailing address
60 SUZANNE AVE, VADNAIS HEIGHTS, MN 55127-4116
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
MN
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
07/02/2018
Last updated
07/02/2018
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