Organization
BEECHWOOD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANNY D GAURNIZO MILLER (EXECUTIVE DIRECTOR)
(612) 824-0415
Entity
Organization
Contact information
Practice address
3901 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55407-2614
(612) 824-0415
(612) 825-0789
Mailing address
3901 CHICAGO AVENUE SOUTH, MINNEAPOLIS, MN 55407-2614
(612) 824-0415
(612) 825-0789
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
325089
MN
251E00000X
Home Health Agency
Primary
—
MN
251S00000X
Community/Behavioral Health Agency
—
MN
Other
Enumeration date
06/21/2005
Last updated
03/17/2017
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