Organization
HENNEPIN ADULT DAY CARE SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ZACHARY JAMES OLSON M.S.W. (CHIEF EXECUTIVE OFFICER)
(651) 646-8961
Entity
Organization
Contact information
Practice address
700 10TH AVE S, MINNEAPOLIS, MN 55415-1745
(651) 646-8961
Mailing address
978 DAYTON AVE, SAINT PAUL, MN 55104-6544
(651) 646-8961
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
APPLYING
MN
Other
Enumeration date
05/19/2009
Last updated
05/19/2009
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