Bristol Place Corporation
NPI #1194818682 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1194818682
- Entity Type
- Organization
- Organization Name
- Bristol Place Corporation
- Primary Specialty
- Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Oct 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 412 RIDGEWOOD AVE S
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55403-3585
- Phone
- (612) 871-0805
Authorized Official
- Name
- DANIEL R SCHNEIDER
- Title
- EXECUTIVE DIRECTOR
- Phone
- (612) 871-0805
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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