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Organization

CENTRAL LAKES RECUPERATIVE CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LAKEESHA JONES (DIRECTOR)
(612) 310-3806
Entity
Organization

Contact information

Practice address
1529 WENTWORTH AVE, SOUTH ST PAUL, MN 55075-1668
(612) 310-3806
Mailing address
1529 WENTWORTH AVE, SOUTH ST PAUL, MN 55075-1668
(612) 310-3806

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary

Other

Enumeration date
02/18/2025
Last updated
02/18/2025
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