Southside Care Center
NPI #1063565398 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1063565398
- Entity Type
- Organization
- Organization Name
- Southside Care Center
- Primary Specialty
- Intermediate Care Facility, Mental Illness
- Enumeration Date
- Jan 19, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2644 ALDRICH AVE S
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55408-1307
- Phone
- (612) 819-5606
Authorized Official
- Name
- MR. RICHARD ALAN KRONFELD
- Title
- MANAGER, MIS
- Phone
- (612) 819-5606
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Mental Illness |
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