Organization
REDEEMER RESIDENCE, INC.
Active
Other names
Redeemer Health and Rehab Center - A Ministry of Elim Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL MICKELSON (CORPORATE A/R MANAGER)
(952) 259-4485
Entity
Organization
Contact information
Practice address
625 W 31ST ST, MINNEAPOLIS, MN 55408-2922
(612) 827-2555
(612) 827-0450
Mailing address
625 W 31ST ST, MINNEAPOLIS, MN 55408-2922
(612) 827-2555
(612) 827-0450
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
327804
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
327804
MINNESOTA STATE LICENSE
MN
05
—
599340700
—
MN
Enumeration date
10/07/2005
Last updated
08/22/2020
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