Whalio Doctors

NPI 1134283518

Axis Minnesota, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Saint Paul, MN

Practice location

Address
1586 Seneca Trl, Saint Paul, MN 55110-5882
Phone
(651) 774-5940
Fax
(651) 774-8126
Mailing address
2345 Rice St Suite 112, Roseville, MN 55113-3741

Authorised official

Name
Denise Marie Scholljegerdes
Title
Cfo
Phone
(651) 774-5940

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 1038653-1-RS (MN)

Registry record

NPI
1134283518
Entity type
Organization
NPI issued
20 Dec 2006
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.