Whalio Doctors

NPI 1063746386

Options Residential, INC

Organisation Foster Care Agency Eagan, MN

Practice location

Address
3958 Beryl Rd, Eagan, MN 55122-1615
Phone
(651) 405-6948
Fax
(651) 454-3099
Mailing address
2105 W Burnsville Pkwy, Burnsville, MN 55337-4237

Authorised official

Name
Brian P Sammon
Title
President
Phone
(612) 226-7120

Registered specialties

Foster Care Agency Primary
Agencies Taxonomy 253J00000X Licence 1037818-1-AFC (MN)

Registry record

NPI
1063746386
Entity type
Organization
NPI issued
21 Sep 2009
Record last updated
21 Sep 2009

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.