Organization
SUPPORTIVE LIVING SOULTIONS,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA M FRAHM (PRESIDENT)
(763) 234-0594
Entity
Organization
Contact information
Practice address
255 SUMMIT AVE, SAINT PAUL, MN 55102-2117
(651) 222-7587
(651) 222-5341
Mailing address
255 SUMMIT AVE, SAINT PAUL, MN 55102-2117
(651) 222-7587
(651) 222-5341
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
356379
MN
Other
Enumeration date
04/12/2012
Last updated
04/12/2012
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