Organization
CHANGE PLACE LLC
Active
Other names
Change Place
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY HOVER (PRESIDENT)
(612) 281-3055
Entity
Organization
Contact information
Practice address
9020 SHANNON LN, HAMEL, MN 55340-9695
(612) 281-3055
Mailing address
9020 SHANNON LN, HAMEL, MN 55340-9695
(612) 281-3055
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
03/23/2023
Last updated
02/02/2024
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