Minnesota Haven Homes, LLC

NPI #1942404983 in Bloomington, Minnesota

Provider Information

NPI Number
1942404983
Entity Type
Organization
Organization Name
Minnesota Haven Homes, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jun 13, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
8227 12TH AVE S
ZIP Code
55425-1709
Phone
(612) 245-1658

Authorized Official

Name
MISS SIA JAMILA SOGBEH, RN
Title
OWNER
Phone
(612) 245-1658

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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