Community Care Services LLC

NPI #1538534037 in Oakdale, Minnesota

Provider Information

NPI Number
1538534037
Entity Type
Organization
Organization Name
Community Care Services LLC
Primary Specialty
Exclusive Provider Organization
Enumeration Date
Dec 9, 2015
Last Updated
Dec 9, 2015

Practice Location

Address
1070 HENSLOW AVE N
ZIP Code
55128-5858
Phone
(651) 702-2510

Authorized Official

Name
MARTIN FRU-NDI
Title
OWNER
Phone
(651) 702-2510

Specialties & Taxonomy Codes

Specialty
Exclusive Provider Organization

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