NPI 1104173723

Coventry Senior Living of Maplewood, LLC

Organisation Home Health Agency Maplewood, MN

Practice location

Address: 1870 East Shore Drive, Maplewood, MN 55109
Phone: (651) 777-7784
Fax: (651) 344-0622

Authorised official

Name: Barbara Ruppe
Title: Executive Director
Phone: (651) 777-7784

Registered specialties

Home Health Agency Primary

Agencies Taxonomy 251E00000X Licence APPLIED FOR (MN)

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Registry record

NPI: 1104173723
Entity type: Organization
NPI issued: 14 Aug 2012
Record last updated: 14 Aug 2012

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.