Rescare Minnesota, Inc.

NPI #1205300969 in Crystal, Minnesota

Provider Information

NPI Number: 1205300969
Entity Type: Organization
Organization Name: Rescare Minnesota, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Mental Illness
Enumeration Date: Jan 16, 2019
Last Updated: Jan 16, 2019

Practice Location

Address: 4835-4901 WEST BORADWAY AVENUE
City: Crystal
State: Minnesota
ZIP Code: 55429
Phone: (763) 537-6612

Authorized Official

Name: MARY A PANK
Title: PARALEGAL
Phone: (502) 394-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Mental Illness	320800000X	Primary

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