Organization
NEW PERSPECTIVE MAHTOMEDI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TINA DUVALL (CONTROLLER)
(952) 856-4707
Entity
Organization
Contact information
Practice address
113 EAST AVE, MAHTOMEDI, MN 55115-2225
(651) 407-9076
Mailing address
113 EAST AVE, MAHTOMEDI, MN 55115-2225
(651) 407-9076
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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