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NPI 1174363683 · Public Health or Welfare Agency · Roseville, MN
Provider details
- NPI number
- 1174363683
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- May Vang, Lead Coverage Case Manager(479) 899-2588
Specialties & taxonomies
Agencies
- Case Manager/Care Coordinator171M00000X
Other Service Providers
- Registered Nurse163W00000X
Nursing Service Providers
Practice location
2345 Rice St Ste 104
Roseville, MN 55113-3720
Phone: (479) 899-2588
Approximate (ZIP-level) locationGet directions
Mailing address
2345 Rice St Ste 104
Roseville, MN 55113-3720
Registry dates
- Enumerated
- 2024-05-31
- Last updated
- 2024-05-31
- Certified
- 2024-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.