Organization
MINNESOTA MASONIC HOME SENIOR OUTREACH SERVICES
Active
Other names
CareBreak
Organization subpart
No
Provider details
NPI number
Authorized official
JON LUNDBERG (COO)
(952) 948-7000
Entity
Organization
Contact information
Practice address
5430 BOONE AVE N, NEW HOPE, MN 55428-3615
(763) 592-3000
Mailing address
11501 MASONIC HOME DR, BLOOMINGTON, MN 55437-3661
(952) 948-7000
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
802202
MN
Other
Enumeration date
09/19/2005
Last updated
08/22/2020
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