NPI 1538534037

Community Care Services LLC

Organisation Exclusive Provider Organization Oakdale, MN

Practice location

Address: 1070 Henslow Ave N, Oakdale, MN 55128-5858
Phone: (651) 702-2510
Fax: (651) 735-3307

Authorised official

Name: Martin Fru-Ndi
Title: Owner
Phone: (651) 702-2510

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X

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Registry record

NPI: 1538534037
Entity type: Organization
NPI issued: 9 Dec 2015
Record last updated: 9 Dec 2015

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.