Organization
VOA CARE CENTERS, MINNESOTA
Active
Other names
Crystal Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY GAVIN (ASSISTANT SECRETARY,TREASURER)
(952) 941-0305
Entity
Organization
Contact information
Practice address
3245 VERA CRUZ AVE N, MINNEAPOLIS, MN 55422-2708
(763) 535-6260
(763) 535-7772
Mailing address
7485 OFFICE RIDGE CIR, EDEN PRAIRIE, MN 55344-3690
(952) 941-0305
(952) 941-0428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
330897
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7100124
MEDICA MSHO
MN
01
—
7111831
MEDICA LTC
MN
05
—
822042500
—
MN
01
—
8716CR
BCBS
MN
01
—
91654
HEALTH PARTNERS
MN
01
—
NH0013
UCARE
MN
Enumeration date
12/13/2006
Last updated
02/05/2021
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