Sunflake

NPI #1598165359 in Fridley, Minnesota

Provider Information

NPI Number: 1598165359
Entity Type: Organization
Organization Name: Sunflake
Primary Specialty: Residential Treatment Facility, Physical Disabilities
Enumeration Date: Aug 29, 2014
Last Updated: Aug 29, 2014

Practice Location

Address: 6525 CENTRAL AVE NE UNIT 2
City: Fridley
State: Minnesota
ZIP Code: 55432-4653
Phone: (612) 730-7955

Authorized Official

Name: JACOB DEVNEY
Title: OWNER
Phone: (612) 730-7955

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Physical Disabilities	320700000X	Primary

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