OrganizationActive
People Serving People
NPI 1255808499 · Lodging Provider · Minneapolis, MN
Provider details
- NPI number
- 1255808499
- Entity type
- Organization
- Primary specialty
- Lodging ProviderOther Service Providers
- Organization subpart
- No
- Authorized official
- Kenneth Smith, Director of Admin. and Compliance(612) 277-0243
Specialties & taxonomies
Other Service Providers
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
614 S 3rd St
Minneapolis, MN 55415-1104
Phone: (612) 227-0243
Fax: (612) 333-7608
Approximate (ZIP-level) locationGet directions
Mailing address
614 S 3rd St
Minneapolis, MN 55415-1104
Registry dates
- Enumerated
- 2018-10-25
- Last updated
- 2018-10-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.