Organization
POR, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES W KEENAN MS, LP (CEO)
(612) 221-2441
Entity
Organization
Contact information
Practice address
8441 WAYZATA BLVD STE 103, GOLDEN VALLEY, MN 55426-1349
(952) 835-6540
Mailing address
14329 ALLEN DR, SAVAGE, MN 55378-2230
(612) 221-2441
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/22/2010
Last updated
11/04/2024
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