Organization · Type 2 NPI

Valley Senior Services Alliance

Adult Day Care Clinic/Center · Oak Park Heights, MN

NPI number 1629361092 Active

Practice location

5610 Norwich Parkway
Oak Park Heights, MN 55082

Call (851) 275-5801 Map

Fax (651) 275-5802

Mailing address

2845 Hamline Ave North
Roseville, MN 55113

Specialties and licenses

Taxonomy	Code	License
Adult Day Care Clinic/Center Primary	261QA0600X	1064266-1-ADC (MN)

Adult Day Care Clinic/Center: Definition to come...

NPI record

NPI: 1629361092
Entity type: Organization (Type 2)
Issued: May 18, 2011
Last updated: Feb 18, 2013
Status: Active
Subpart: Yes of Valley Senior Services Alliance

Other names

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Boutwells Landing Adult Day Program · doing business as

Authorized official

Rebecca A. Conway
Executive Director of Creative Inde
(651) 631-6123

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1629361092

Valley Senior Services Alliance's National Provider Identifier is 1629361092, issued on May 18, 2011. The primary taxonomy on file is Adult Day Care Clinic/Center (261QA0600X), and the practice location is in Oak Park Heights, MN. The record was last updated on Feb 18, 2013.