Organization
COMMUNITY CARE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN FRU-NDI (OWNER)
(651) 702-2510
Entity
Organization
Contact information
Practice address
1070 HENSLOW AVE N, OAKDALE, MN 55128-5858
(651) 702-2510
(651) 735-3307
Mailing address
1070 HENSLOW AVE N, OAKDALE, MN 55128-5858
(651) 702-2510
(651) 735-3307
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
12/09/2015
Last updated
12/09/2015
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