Organization
ROSE OF SHARON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MAYA LYNN NINNEMANN COTA (CERTIFIED OCCUPATIONAL THERAPY ASSI)
(651) 484-3378
Entity
Organization
Contact information
Practice address
1000 LOVELL AVE W, ROSEVILLE, MN 55113-4459
(651) 484-3378
(651) 484-8982
Mailing address
1000 LOVELL AVE W, ROSEVILLE, MN 55113-4459
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
201729
MN
Other
Enumeration date
10/08/2012
Last updated
10/08/2012
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