OPTIOVILLAGE, INC

ANOKA, MN
NPI1184002784
Entity TypeOrganization
Authorized ContactTRENTON JON PETERSON
Clinical Director
763-712-1903
Organization Subpart ?No
Primary Taxonomy251S00000X 
Enumeration Date2015-05-14
Last Update Date2015-05-14
Business Address
OPTIOVILLAGE, INC
630 E MAIN ST
ANOKA, MN 55303-2527
Phone number: 763-712-1903
Mailing Address
OPTIOVILLAGE, INC
630 EAST MAIN ST.
ANOKA, MN 55303
Phone number: 763-712-1903