Organization
SOUTHSIDE LIFE CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RYNDERS (EXECUTIVE DIRECTOR)
(612) 823-0301
Entity
Organization
Contact information
Practice address
4105 CHICAGO AVE, MINNEAPOLIS, MN 55407-3144
(612) 823-0301
(612) 823-0775
Mailing address
4105 CHICAGO AVE, MINNEAPOLIS, MN 55407-3144
(612) 823-0301
(612) 823-0775
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Enumeration date
04/23/2008
Last updated
04/23/2008
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