Organization
KMJC, LLC
Active
Other names
Dellwood Gardens
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SIA LO (ADMINISTRATOR)
(651) 776-9511
Entity
Organization
Contact information
Practice address
753 7TH ST E, SAINT PAUL, MN 55106-5025
(651) 776-9511
Mailing address
753 7TH ST E, SAINT PAUL, MN 55106-5025
(651) 776-9511
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
01/17/2014
Last updated
01/17/2014
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