Organization
SOUTHVIEW SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY J MYERS (RESIDENCE DIRECTOR)
(651) 554-4838
Entity
Organization
Contact information
Practice address
1984 OAKDALE AVE, SAINT PAUL, MN 55118-3553
(651) 554-4838
(651) 455-0267
Mailing address
1984 OAKDALE AVE, SAINT PAUL, MN 55118-3553
(651) 554-4838
(651) 455-0267
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
333707
MN
Other
Enumeration date
11/16/2006
Last updated
08/22/2020
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