Clifton House, Inc.

NPI 1063746790 - Religious Nonmedical Health Care Institution - 282J00000X

NPI Details
NPI 1063746790
Enumeration Date 09/29/2009
Last Updated 09/29/2009
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name BRUCE ALLEN BRUCE
Position ADMINISTRATOR
Phone (651) 379-0100
Fax (651) 379-0601
Practice Location
1200 LONG LAKE ROAD
NEW BRIGHTON MN, 55112-6430, US
Phone (651) 379-0100
Fax (651) 379-0601
Business Location
1200 LONG LAKE ROAD
NEW BRIGHTON MN, 55112-6430, US
Phone (651) 379-0100
Fax (651) 379-0601
Toxanomy
Taxonomy Code 282J00000X
License State Minnesota
License Number 345904
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According to our database, Clifton House, Inc. NPI is 1063746790, taxonomy code is 282J00000X and license number is 345904, license state is located at Minnesota. Clifton House, Inc. physically located at 1200 Long Lake Road, New Brighton MN, 55112-6430. NPI Number 1033115704 has the healthcare provider type.

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1063746790 NPI number is provided on an as is basis without warranty of any kind. 1063746790 is maintained by the National Plan & Provider Enumeration System. The contents of Clifton House, Inc. are for informational purposes only.