Organization
MOUNT OLIVET ROLLING ACRES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE TORGERSON (CHIEF OPERATING OFFICER)
(952) 401-4847
Entity
Organization
Contact information
Practice address
18986 LAKE DR E, CHANHASSEN, MN 55317-9348
(952) 474-5974
Mailing address
9375 JAN VIEW LN, WACONIA, MN 55387-9551
(952) 474-5974
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
06/14/2016
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