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Organization

PENNY LANE HOMES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY DALE FENSKE (DIRECTOR)
(651) 497-1717
Entity
Organization

Contact information

Practice address
1285 70TH ST W, INVER GROVE HEIGHTS, MN 55077-2305
(651) 497-1717
Mailing address
1285 70TH ST W, INVER GROVE HEIGHTS, MN 55077-2305
(651) 497-1717

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1054038-2-AFC
MN

Other

Enumeration date
04/16/2010
Last updated
04/16/2010
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