Organization
OPTIONS RESIDENTIAL, INC
Active
Parent organization
OPTIONS RESIDENTIAL, INC
Other names
Meadows #3
Organization subpart
Yes
Provider details
NPI number
Legal business name
OPTIONS RESIDENTIAL, INC
Authorized official
MR. BRIAN P SAMMON LADC, LMFT (PRESIDENT)
(612) 226-7120
Entity
Organization
Contact information
Practice address
14990 CHORLEY AVE W, APT#3, ROSEMOUNT, MN 55068-4245
(651) 344-7059
(651) 344-7115
Mailing address
2105 W BURNSVILLE PKWY, BURNSVILLE, MN 55337-4237
(952) 564-3030
(952) 564-3038
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1050919-1-AFC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138003
UCARE
MN
05
—
A630173806
—
MN
Enumeration date
09/24/2009
Last updated
09/24/2009
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