Evans Park, INC

NPI #1932722584 in Otsego, Minnesota

Provider Information

NPI Number
1932722584
Entity Type
Organization
Organization Name
Evans Park, INC
Subpart
Yes (part of a larger organization)
Parent Organization
EVANS PARK, INC
Primary Specialty
Assisted Living Facility
Enumeration Date
May 18, 2020
Last Updated
May 18, 2020

Practice Location

Address
9200 QUANTRELLE AVE NE
City
Otsego
ZIP Code
55330-1048
Phone
(763) 746-3400

Authorized Official

Name
TROY HANSON
Title
VP,CFO
Phone
(763) 241-4445

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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