Organization
MILS MINNESOTA INDEPENDENT LIVING SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE LEE REID (ADMINISTRATOR)
(612) 379-4027
Entity
Organization
Contact information
Practice address
2520 BROADWAY ST NE, SUITE 205, MINNEAPOLIS, MN 55413-1962
(612) 379-4027
(612) 379-3489
Mailing address
2520 BROADWAY ST NE, SUITE 205, MINNEAPOLIS, MN 55413-1962
(612) 379-4027
(612) 379-3489
Taxonomy
Speciality
Code
Description
License number
State
311Z00000X
Custodial Care Facility
Primary
636054900
MN
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
09/20/2006
Last updated
05/17/2021
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