NPI 1487067153

Client Centered Care

Organisation Adult Care Home Facility Saint Paul, MN

Practice location

Address: 393 Dunlap St N Suite 105, Saint Paul, MN 55104-4200
Phone: (651) 600-3869
Fax: (651) 797-4308
Mailing address: 393 Dunlap Street North Suite 105, Saint Paul, MN 55104

Authorised official

Name: Bradly James Ely
Title: Director of Nursing
Phone: (651) 600-3869

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Minnesota →

Registry record

NPI: 1487067153
Entity type: Organization
NPI issued: 10 Jun 2014
Record last updated: 10 Jun 2014

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.