Organization
GREAT OAK SENIOR CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEITH DAHLEN (OWNER / PRESIDENT)
(952) 767-4925
Entity
Organization
Contact information
Practice address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(952) 767-4925
Mailing address
7800 METRO PKWY STE 300, BLOOMINGTON, MN 55425-1509
(952) 767-4925
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/22/2020
Last updated
09/02/2020
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