Organization
MINNESOTA ADULT DAY CARE CENTER SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BASRA J HERSI (EXECUTIVE DIRECTOR)
(612) 532-1409
Entity
Organization
Contact information
Practice address
2910 PILLSBURY STREET, #233, MINNEAPOLIS, MN 55408
(612) 532-1409
(612) 235-4617
Mailing address
2910 PILLSBURY AVE, SUIT#233 AND 235, MINNEAPOLIS, MN 55408-2297
(612) 532-1409
(612) 235-4617
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
1058898
MN
Other
Enumeration date
10/13/2011
Last updated
10/13/2011
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