NPI 1033284146

Sels Senior Exercise Lifestyle Services

Organisation Exclusive Provider Organization Shoreview, MN

Practice location

Address: 5950 Churchill St, Shoreview, MN 55126-8427
Phone: (651) 208-4564
Fax: (651) 774-2107
Mailing address: 1044 Centerville Cir Suite 200, Vadnais Heights, MN 55127-6346

Authorised official

Name: Sandra Swami
Title: President
Phone: (651) 208-4564

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence C10380 (MN)

Other Exclusive Provider Organization providers in Minnesota →

Registry record

NPI: 1033284146
Entity type: Organization
NPI issued: 22 Nov 2006
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.