Organization
METROPOLITAN CENTER FOR INDEPENDENT LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA SWEDO (HR/FISCAL MANAGER)
(651) 603-2014
Entity
Organization
Contact information
Practice address
1600 UNIVERSITY AVE W STE 16, SAINT PAUL, MN 55104-3834
(651) 603-2014
(651) 603-2014
Mailing address
1600 UNIVERSITY AVE W STE 16, SAINT PAUL, MN 55104-3834
(651) 603-2014
(651) 603-2014
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/24/2009
Last updated
03/24/2009
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