NPI 1619976974

Mount Olivet Home

Organisation Nursing Facility/Intermediate Care Facility Minneapolis, MN

Practice location

Address: 5517 Lyndale Ave S, Minneapolis, MN 55419-1719
Phone: (612) 827-5677
Fax: (612) 821-3241

Authorised official

Name: Richard a Anderson
Title: Controller
Phone: (612) 821-3185

Registered specialties

Nursing Facility/Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 313M00000X Licence 328408 (MN)

Other Nursing Facility/Intermediate Care Facility providers in Minnesota →

Registry record

NPI: 1619976974
Entity type: Organization
NPI issued: 19 Jul 2005
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.