Organization
MIRACLE ADULT DAY CARE CENTER OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEMANE GADISSA ALEKU (CEO)
(612) 203-5814
Entity
Organization
Contact information
Practice address
1867 OAKDALE AVE, WEST ST PAUL, MN 55118-4602
(612) 203-5814
Mailing address
1867 OAKDALE AVE, WEST ST PAUL, MN 55118-4602
(612) 203-5814
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/04/2024
Last updated
06/04/2024
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