Robert Lennartson
NPI #1396839148 in Cottage Grove, Minnesota
Provider Information
- NPI Number
- 1396839148
- Entity Type
- Organization
- Organization Name
- Robert Lennartson
- Primary Specialty
- Residential Treatment Facility, Physical Disabilities
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Sep 8, 2008
Practice Location
- Address
- 8251 INGLESIDE AVE SOUTH
- City
- Cottage Grove
- State
- Minnesota
- ZIP Code
- 55016
- Phone
- (651) 458-0813
Authorized Official
- Name
- MR. ROBERT BLAKE LENNARTSON
- Title
- OWNER
- Phone
- (651) 458-0813
Specialties & Taxonomy Codes
| Specialty |
|---|
| Custodial Care Facility - Adult Care Home — Adult Care Home |
| Residential Treatment Facility, Physical Disabilities |
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