NPI 1598165359

Sunflake

Organisation Physical Disabilities Residential Treatment Facility Fridley, MN

Practice location

Address: 6525 Central Ave NE Unit 2, Fridley, MN 55432-4653
Phone: (612) 730-7955

Authorised official

Name: Jacob Devney
Title: Owner
Phone: (612) 730-7955

Registered specialties

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence EA657799 (MN)

Other Residential Treatment Facility, Physical Disabilities providers in Minnesota →

Registry record

NPI: 1598165359
Entity type: Organization
NPI issued: 29 Aug 2014
Record last updated: 29 Aug 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.