Organization
PEACE HEALTHCARE SYSTEMS
Active
Other names
PEACE HEALTHCARE SYSTEMS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FATAI A POPOOLA LICSW (LALD)
(651) 214-0975
Entity
Organization
Contact information
Practice address
8255 GRANGE BLVD, COTTAGE GROVE, MN 55016-4823
(651) 214-0975
Mailing address
8255 GRANGE BLVD, COTTAGE GROVE, MN 55016-4823
(651) 214-0975
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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