Organization
OPTIONS RESIDENTIAL, INC
Active
Organization
OPTIONS RESIDENTIAL, INC
Active
Other names
Foundation Day program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN P SAMMON LMFT (PRESIDENT)
(612) 226-7120
Entity
Organization
Contact information
Practice address
2105 W BURNSVILLE PKWY, BURNSVILLE, MN 55337-4237
(952) 564-3030
(952) 564-3038
Mailing address
2105 W BURNSVILLE PKWY, BURNSVILLE, MN 55337-4237
(952) 564-3030
(952) 564-3038
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1049866-1-ADC
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
162386
UCARE
MN
05
—
A208452100
—
MN
Enumeration date
07/30/2009
Last updated
07/30/2009
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