Organization
ON TRACK MN, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE DEANNE HENDRICKSON (DIRECTOR)
(612) 413-8780
Entity
Organization
Contact information
Practice address
7035 WAYZATA BLVD, ST LOUIS PARK, MN 55426-1753
(612) 413-8780
Mailing address
7035 WAYZATA BLVD STE 100, ST LOUIS PARK, MN 55426-1754
(612) 413-8780
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
07/18/2019
Last updated
08/22/2024
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