Organization
HENNEPIN ADULT DAY CARE SERVICES CORP
Active
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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