Phs Interlude Fridley LLC
NPI #1740697291 in Fridley, Minnesota
Provider Information
- NPI Number
- 1740697291
- Entity Type
- Organization
- Organization Name
- Phs Interlude Fridley LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 16, 2014
- Last Updated
- Dec 1, 2017
Practice Location
Authorized Official
- Name
- NICOLE DONAHUE
- Title
- CEO/ADMINISTRATOR
- Phone
- (763) 230-3141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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