Organization
TOLAD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EMMANUEL COKER (PROGRAM ADMINISTRATOR)
(763) 566-1744
Entity
Organization
Contact information
Practice address
7062 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-1370
(763) 566-1744
(763) 566-7155
Mailing address
7062 BROOKLYN BLVD, BROOKLYN CENTER, MN 55429-1370
(763) 566-1744
(763) 566-7155
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A946493000
245B
MN
Enumeration date
11/12/2008
Last updated
11/12/2008
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