NPI 1053475434

Axis Minnesota, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Roseville, MN

Practice location

Address: 692 Belmont Ln W, Roseville, MN 55113-6470
Phone: (651) 774-5940
Fax: (651) 774-8126
Mailing address: 2345 Rice St Suite 112, Roseville, MN 55113-3741

Authorised official

Name: Denise Marie Scholljegerdes
Title: Cfo
Phone: (651) 774-5940

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 1030626-1-RS (MN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Minnesota →

Registry record

NPI: 1053475434
Entity type: Organization
NPI issued: 20 Dec 2006
Record last updated: 22 Aug 2020

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.