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Northeast Residence, Inc.
Respite Care in Little Canada, Minnesota
NPI 1770628778

Northeast Residence, Inc. is a Respite Care based in Little Canada, MN. Northeast Residence, Inc. practices in Little Canada, MN. The NPI Number for Northeast Residence, Inc. is 1770628778 and holds a License No. 801750 (Minnesota).

The current practice location address for Northeast Residence, Inc. is 410 Little Canada Rd E, Little Canada, MN and can be reached out via phone at 651-765-0217 and via fax at 651-765-0212.

Location: 410 Little Canada Rd E, Little Canada, MN, 55117-1629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770628778
Provider Name
Northeast Residence, Inc.
Credential
Provider Entity Type
Organization
Address
410 Little Canada Rd E, Little Canada, MN, 55117-1629
Phone Number
651-765-0217
Fax Number
651-765-0212
Provider Enumeration Date
02/20/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
410 Little Canada Rd E
City
Little Canada
State
Minnesota
Zip
55117-1629
Phone Number
651-765-0217
Fax Number
651-765-0212
person
Provider Business Mailing Address Details
Address
410 Little Canada Rd E
City
Little Canada
State
Minnesota
Zip
55117-1629
Phone Number
651-765-0217
Fax Number
651-765-0212
person
Provider's Taxonomy Details 1
Type
Respite Care Facility
Classification
Respite Care
Speciality
-
Taxonomy
385H00000X
License No.
801750 (Minnesota)
Definition
Definition to come.
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