Organization
INNOVATIONS FOR AGING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK RICHARD CULLEN (VICE PRESIDENT)
(651) 251-5763
Entity
Organization
Contact information
Practice address
3001 BROADWAY ST NE STE 601, MINNEAPOLIS, MN 55413-2659
(651) 641-8612
Mailing address
3001 BROADWAY ST NE STE 601, MINNEAPOLIS, MN 55413-2659
(651) 641-8612
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
03/26/2026
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