Organization
CARDINAL OF MINNESOTA, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER KRPATA (ACCOUNTANT)
(507) 281-1077
Entity
Organization
Contact information
Practice address
3008 WELLNER DR NE, ROCHESTER, MN 55906-8427
(507) 281-1077
Mailing address
3008 WELLNER DR NE, ROCHESTER, MN 55906-8427
(507) 281-1077
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A982718800
—
MN
Enumeration date
06/26/2019
Last updated
06/26/2019
Update your record
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