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Organization

OPTIONS RESIDENTIAL, INC

Active
Parent organization
OPTIONS RESIDENTIAL, INC
Other names
Lakewood house
Organization subpart
Yes

Provider details

NPI number
Legal business name
OPTIONS RESIDENTIAL, INC
Authorized official
MR. BRIAN PATRICK SAMMON LMFT, LADC (PRESIDENT)
(612) 226-7120
Entity
Organization

Contact information

Practice address
12228 S ROBERT TRL, ROSEMOUNT, MN 55068-3653
(651) 423-6776
(651) 423-6778
Mailing address
615 WEST TRAVELERS TRAIL, BURNSVILLE, MN 55337-2877
(952) 564-3006
(652) 217-5677

Taxonomy

Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
138003
UCARE
MN
05
A630173804
MN
Enumeration date
12/05/2006
Last updated
01/20/2023
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