NPI 1043630924

Miracles1st

Organisation Adult Care Home Facility Columbia Heights, MN

Practice location

Address: 5128 4th St NE, Columbia Heights, MN 55421-2874
Phone: (763) 528-5431

Authorised official

Name: Patrice Wynne-Finley
Title: Governing Body
Phone: (753) 528-5431

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Minnesota →

Registry record

NPI: 1043630924
Entity type: Organization
NPI issued: 18 Apr 2014
Record last updated: 18 Apr 2014

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.