Organization
SOUTHEASTERN MINNESOTA CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORIA DALLE MOLLE MPA (EXECUTIVE DIRECTOR)
(507) 285-3912
Entity
Organization
Contact information
Practice address
2720 N BROADWAY, ROCHESTER, MN 55906-3980
(507) 285-1815
(507) 288-8070
Mailing address
2720 N BROADWAY, ROCHESTER, MN 55906-3980
(507) 285-1815
(507) 288-8070
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Enumeration date
10/04/2005
Last updated
08/22/2020
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