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Organization

EVANS PARK, INC.

Active
Parent organization
GUARDIAN ANGELS OF ELK RIVER
Organization subpart
Yes

Provider details

NPI number
Legal business name
GUARDIAN ANGELS OF ELK RIVER
Authorized official
TROY HANSON (VP/CFO)
(763) 241-4445
Entity
Organization

Contact information

Practice address
300 EVANS AVE NW, ELK RIVER, MN 55330-2649
(763) 241-4430
Mailing address
508 FREEPORT AVE NW, ELK RIVER, MN 55330-1873

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
05/30/2019
Last updated
05/30/2019
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