Organization
CERENITY-MARIAN OF ST. PAUL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRICIA BERGIEN (ASSISTANT TREASURER)
(612) 991-6519
Entity
Organization
Contact information
Practice address
200 EARL ST, SAINT PAUL, MN 55106-6714
(651) 793-2100
(651) 771-4509
Mailing address
6499 UNIVERSITY AVE NE, MINNEAPOLIS, MN 55432-4303
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/06/2017
Last updated
05/28/2021
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