Organization
JONES HARRISON RESIDENCE CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNETTE GREELY (PRESIDENT/CEO)
(612) 920-2030
Entity
Organization
Contact information
Practice address
3700 CEDAR LAKE AVE, MINNEAPOLIS, MN 55416-4240
(612) 920-2030
(612) 920-2824
Mailing address
3700 CEDAR LAKE AVE, MINNEAPOLIS, MN 55416-4240
(612) 920-2030
(612) 920-2824
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
329866
MN
310400000X
Assisted Living Facility
L14827307
MN
314000000X
Skilled Nursing Facility
Primary
328173
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461242600
—
MN
01
—
7122738
MEDICA
—
01
—
9626TO
BCBS
—
Enumeration date
09/30/2005
Last updated
06/02/2022
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