NPI Provider: 1255337796
Contact Name: Meyer Timothy
Position: Administrator
Phone: (612) 287-3538
St. Olaf Residence, Inc. Information:
St. Olaf Residence, Inc. organization have npi 1255337796, taxonomy code is 314000000X with license number is 260 in . This Business address located in 2912 Fremont Ave N, Minneapolis, MN 55411 Minnesota.
Practice Location
Address: 2912 Fremont Ave N, Minneapolis, MN 55411
Phone: (612) 522-6561
Business Location
Address: 2912 Fremont Ave N, Minneapolis, MN 55411
Phone: (612) 522-6561
Fax: (612) 522-2921
Taxonomy
Taxonomy Code: 314000000X
License Number: 260
License Number of State: MN
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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