Organization · Type 2 NPI
Living Hope Second Chance LLC
Clinic/Center · Edina, MN
NPI number
1306350178
Active
Practice location
7400 Metro Blvd Ste 230
Edina, MN 55439-2352
Fax (952) 217-4427
Mailing address
20455 Cypress Dr
Farmington, MN 55024-7319
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider | 174200000X | None listed |
| Peer Specialist | 175T00000X | None listed |
| Local Education Agency (LEA) | 251300000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Clinic/Center Primary | 261Q00000X | None listed |
| Home Delivered Meals | 332U00000X | None listed |
| Transportation Network Company | 342000000X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Respite Care | 385H00000X | None listed |
| Child Mental Illness Respite Care | 385HR2055X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care | 385HR2060X | None listed |
| Prevention Professional | 405300000X | None listed |
Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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About NPI 1306350178
Living Hope Second Chance LLC's National Provider Identifier is 1306350178, issued on Nov 30, 2017. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Edina, MN. The record was last updated on Oct 16, 2023.