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JONES HARRISON RESIDENCE

Assisted Living Facility

Minneapolis, Minnesota

Provider NPI: 1699762195

Organization Information:
Organization Name:  JONES HARRISON RESIDENCE


Practice Location:
3700 CEDAR LAKE AVE  MINNEAPOLIS, MN 55416 US
Tel: 612-920-2030  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MNL14827307
X251E00000XAgencies
Home Health
MN329866
X314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
MN328173

Other Provider Identifiers:

IssuerNumberStateType
BCBS9626TO01
MEDICA712273801
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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