Organization
AMETHYST HEALTH SERVICES LLC
Active
Other names
Amethyst Health Services LLC
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE D TALL (HUMAN RESOURCES AND IT)
(952) 465-8359
Entity
Organization
Contact information
Practice address
13236 IRVING AVE S, BURNSVILLE, MN 55337-2413
(952) 465-8359
Mailing address
13236 IRVING AVE S, BURNSVILLE, MN 55337-2413
(952) 465-8359
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/09/2021
Last updated
03/09/2021
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