Organization
NBH CRANBERRY ACRES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WELDLER (MANAGER)
(773) 919-9351
Entity
Organization
Contact information
Practice address
5810 CRANBERRY DR, WYOMING, MN 55092-9499
(773) 919-9351
Mailing address
5810 CRANBERRY DR, WYOMING, MN 55092-9499
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
07/07/2023
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