St. Olaf Residence, Inc.
NPI #1255337796 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1255337796
- Entity Type
- Organization
- Organization Name
- St. Olaf Residence, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 21, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 2912 FREMONT AVE N
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55411-1313
- Phone
- (612) 522-6561
Authorized Official
- Name
- MR. TIMOTHY MEYER
- Title
- ADMINISTRATOR
- Phone
- (612) 287-3538
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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