NPI 1396839148

Robert Lennartson

Organisation Physical Disabilities Residential Treatment Facility Cottage Grove, MN

Practice location

Address: 8251 Ingleside Ave South, Cottage Grove, MN 55016
Phone: (651) 458-0813
Fax: (651) 769-2620

Authorised official

Name: Robert Blake Lennartson
Title: Owner
Phone: (651) 458-0813

Registered specialties (2)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence 235363-2-AFC (MN)

Other Residential Treatment Facility, Physical Disabilities providers in Minnesota →

Adult Care Home Facility

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 235363-4-AFC (MN)

Other Custodial Care Facility providers in Minnesota →

Registry record

NPI: 1396839148
Entity type: Organization
NPI issued: 3 Oct 2006
Record last updated: 8 Sep 2008

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.