State of Minnesota-Minnesota Management and Budget

NPI #1508165457 in Hastings, Minnesota

Provider Information

NPI Number
1508165457
Entity Type
Organization
Organization Name
State of Minnesota-Minnesota Management and Budget
Subpart
Yes (part of a larger organization)
Parent Organization
STATE OF MINNESOTA-MINNESOTA MANAGEMENT AND BUDGET
Primary Specialty
Assisted Living Facility
Enumeration Date
Mar 17, 2011
Last Updated
Mar 19, 2019

Practice Location

Address
1200 18TH ST E
ZIP Code
55033-3680
Phone
(651) 438-8500

Authorized Official

Name
MARY ELIZABETH JOHNSON
Title
CENTRAL PHARMACY, PHARMACIST SENIOR
Phone
(612) 548-5962

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility - Assisted Living, Mental IllnessAssisted Living, Mental Illness
Assisted Living Facility

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