Organization · Type 2 NPI

Mount Olivet Home

Nursing Facility/Intermediate Care Facility · Minneapolis, MN

NPI number 1619976974 Active

Practice location

5517 Lyndale Ave S
Minneapolis, MN 55419-1719

Call (612) 827-5677 Map

Fax (612) 821-3241

Specialties and licenses

TaxonomyCodeLicense
Nursing Facility/Intermediate Care Facility Primary 313M00000X328408 (MN)

Nursing Facility/Intermediate Care Facility: An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical conditi…

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About NPI 1619976974

Mount Olivet Home's National Provider Identifier is 1619976974, issued on Jul 19, 2005. The primary taxonomy on file is Nursing Facility/Intermediate Care Facility (313M00000X), and the practice location is in Minneapolis, MN. The record was last updated on Aug 22, 2020.