NPI 1487745626

Axis Minnesota, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Shoreview, MN

Practice location

Address: 1083 Glenhill Rd, Shoreview, MN 55126-8115
Phone: (651) 774-5940
Mailing address: 2345 Rice Street Suite 112, Roseville, MN 55113

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 1028084-1-RS (MN)

Other Intermediate Care Facility, Intellectual Disabilities providers in Minnesota →

Registry record

NPI: 1487745626
Entity type: Organization
NPI issued: 27 Sep 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.