Organization
MOUNT OLIVET ROLLING ACRES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KARI DOSE (OFFICE MANAGER)
(952) 474-5974
Entity
Organization
Contact information
Practice address
18986 LAKE DR E, CHANHASSEN, MN 55317-9348
(952) 401-4843
(952) 474-1148
Mailing address
18986 LAKE DR E, CHANHASSEN, MN 55317-9348
(952) 401-4843
(952) 474-1148
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
801603-3-RS
MN
Other
Enumeration date
12/27/2006
Last updated
04/09/2012
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