NPI 1114232949

September Cottage Eldercare

Organisation Adult Care Home Facility Scandia, MN

Practice location

Address: 14145 205th St N, Scandia, MN 55073-9583
Phone: (651) 433-4638

Authorised official

Name: Alana Nicole Sundberg
Title: Owner/Provider
Phone: (651) 433-4638

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 1057930-2-AFC (MN)

Other Custodial Care Facility providers in Minnesota →

Registry record

NPI: 1114232949
Entity type: Organization
NPI issued: 17 Aug 2010
Record last updated: 17 Aug 2010

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.