Organization
VILLAGE INTEGRATED SERVICES AGENCY LLP
Active
Other names
VISA
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY JEAN STINSON-ROYSTON (CHIEF FINANCIAL OFFICER)
(763) 443-4236
Entity
Organization
Contact information
Practice address
3300 COUNTY RD 10, SUITE 500G, BROOKLYN CENTER, MN 55429
(763) 443-4236
(763) 647-7146
Mailing address
5803 XERXES AVE N APT 115, BROOKLYN CENTER, MN 55430-2844
(763) 443-4236
(763) 647-7146
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
—
177F00000X
Lodging Provider
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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