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1578535886
THE PROVIDENCE PLACE
MINNEAPOLIS, MN
NPI
1578535886
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Entity Type
Organization
Authorized Contact
HOWIE GROFF
President
952-888-2923
Organization Subpart ?
No
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: MN 328868)
Enumeration Date
2006-02-02
Last Update Date
2020-08-22
Business Address
THE PROVIDENCE PLACE
3720 23RD AVE S
MINNEAPOLIS, MN 55407-3010
Phone number: 612-724-5495
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Mailing Address
THE PROVIDENCE PLACE
3720 23RD AVE S
MINNEAPOLIS, MN 55407-3010
Phone number:
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