Smc Ahston INC
NPI #1003590209 in Brooklyn Center, Minnesota
Provider Information
- NPI Number
- 1003590209
- Entity Type
- Organization
- Organization Name
- Smc Ahston INC
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Jun 9, 2023
- Last Updated
- Jun 13, 2023
Practice Location
- Address
- 6642 DUPONT AVE N
- City
- Brooklyn Center
- State
- Minnesota
- ZIP Code
- 55430-1808
- Phone
- (763) 566-0831
Authorized Official
- Name
- ROGER BONNY
- Title
- CEO
- Phone
- (860) 967-9340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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