Organization
COVENIRE CARE NOKOMIS, LLC - DBA THE WATERS OF MINNEHAHA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOWIE GROFF (PRESIDENT)
(952) 888-2923
Entity
Organization
Contact information
Practice address
3720 23RD AVE S, MINNEAPOLIS, MN 55407-3010
(612) 238-0100
Mailing address
3720 23RD AVE S, MINNEAPOLIS, MN 55407-3010
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
01/28/2011
Last updated
01/28/2011
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