Golden Jubilee Healthcare Inc.

NPI 1093074437 - Clinic/Center - 261QA0600X

NPI Details
NPI 1093074437
Enumeration Date 05/04/2012
Last Updated 05/04/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name LANCELOT LANCELOT
Position CEO
Phone (612) 607-9998
Fax
Practice Location
4016 BLOOMINGTON AVE
MINNEAPOLIS
MINNEAPOLIS MN, 55407-3331, US
Phone (612) 607-9998
Fax
Business Location
4016 BLOOMINGTON AVE. SOUTH
MINNEAPOLIS
MINNEAPOLIS MN, 55407, US
Phone (612) 607-9998
Fax
Toxanomy
Taxonomy Code 261QA0600X
License State
License Number
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According to our database, Golden Jubilee Healthcare Inc. NPI is 1093074437, taxonomy code is 261QA0600X Golden Jubilee Healthcare Inc. physically located at 4016 Bloomington Ave, Minneapolis MN, 55407-3331. NPI Number 1033115704 has the healthcare provider type.

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1093074437 NPI number is provided on an as is basis without warranty of any kind. 1093074437 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Jubilee Healthcare Inc. are for informational purposes only.