Mount Olivet Home
NPI #1619976974 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1619976974
- Entity Type
- Organization
- Organization Name
- Mount Olivet Home
- Primary Specialty
- Nursing Facility/Intermediate Care Facility
- Enumeration Date
- Jul 19, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 5517 LYNDALE AVE S
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55419-1719
- Phone
- (612) 827-5677
Authorized Official
- Name
- MR. RICHARD A ANDERSON
- Title
- CONTROLLER
- Phone
- (612) 821-3185
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nursing Facility/Intermediate Care Facility |
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