Organization
MOUNT OLIVET DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD A ANDERSON (CONTROLLER)
(612) 821-3185
Entity
Organization
Contact information
Practice address
5601 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1721
(612) 827-5677
(612) 821-3241
Mailing address
5601 LYNDALE AVE S, MINNEAPOLIS, MN 55419-1721
(612) 827-5677
(612) 821-3241
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
809494
MN
Other
Enumeration date
07/19/2005
Last updated
08/22/2020
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