NPI 1124269808

Minnesota Senior Care, INC.

Organisation Preferred Provider Organization Walnut Grove, MN

Practice location

Address: 361 8th St APT 102, Walnut Grove, MN 56180-9372
Phone: (651) 493-8837
Fax: (651) 493-8910

Authorised official

Name: Kao Lor
Title: Owner
Phone: (651) 493-8837

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 343020 (MN)

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Registry record

NPI: 1124269808
Entity type: Organization
NPI issued: 10 Mar 2009
Record last updated: 10 Mar 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.