Organization
MINNESOTA MASONIC HOME SENIOR OUTREACH SERVICES
Active
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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