Organization
ROBERT LENNARTSON
Active
Other names
New Beginnings
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT BLAKE LENNARTSON (OWNER)
(651) 458-0813
Entity
Organization
Contact information
Practice address
8251 INGLESIDE AVE SOUTH, COTTAGE GROVE, MN 55016
(651) 458-0813
(651) 769-2620
Mailing address
8251 INGLESIDE AVE SOUTH, COTTAGE GROVE, MN 55016
(651) 458-0813
(651) 769-2620
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
235363-4-AFC
MN
320700000X
Physical Disabilities Residential Treatment Facility
Primary
235363-2-AFC
MN
Other
Enumeration date
10/03/2006
Last updated
09/08/2008
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