NPI 1063565398

Southside Care Center

Organisation Mental Illness Intermediate Care Facility Minneapolis, MN

Practice location

Address: 2644 Aldrich Ave S, Minneapolis, MN 55408-1307
Phone: (612) 819-5606
Mailing address: 4221 Beverly Ave, Minneapolis, MN 55422-5221

Authorised official

Name: Richard Alan Kronfeld
Title: Manager, Mis
Phone: (612) 819-5606

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 334535 (MN)

Other Intermediate Care Facility, Mental Illness providers in Minnesota →

Registry record

NPI: 1063565398
Entity type: Organization
NPI issued: 19 Jan 2007
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.