Southside Life Care Center
NPI #1982879771 in Minneapolis, Minnesota
Provider Information
- NPI Number
- 1982879771
- Entity Type
- Organization
- Organization Name
- Southside Life Care Center
- Primary Specialty
- Voluntary or Charitable
- Enumeration Date
- Apr 23, 2008
- Last Updated
- Apr 23, 2008
Practice Location
- Address
- 4105 CHICAGO AVE
- City
- Minneapolis
- State
- Minnesota
- ZIP Code
- 55407-3144
- Phone
- (612) 823-0301
Authorized Official
- Name
- KIMBERLY RYNDERS
- Title
- EXECUTIVE DIRECTOR
- Phone
- (612) 823-0301
Specialties & Taxonomy Codes
| Specialty |
|---|
| Voluntary or Charitable |
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