Organization
CERENITY SENIOR CARE
Active
Parent organization
CERENITY SENIOR CARE
Other names
Cerenity Residence on Humboldt
Organization subpart
Yes
Provider details
NPI number
Legal business name
CERENITY SENIOR CARE
Authorized official
KRISTA SIDDIQUI (ADMINISTRATOR)
(651) 220-1700
Entity
Organization
Contact information
Practice address
514 HUMBOLDT AVE, SAINT PAUL, MN 55107-4013
(651) 220-1700
(651) 220-1724
Mailing address
514 HUMBOLDT AVE, SAINT PAUL, MN 55107-4013
(651) 220-1700
(651) 220-1724
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
245479
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
554816100
—
MN
Enumeration date
10/28/2005
Last updated
05/28/2021
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