MOUNT OLIVET ROLLING ACRES INC NPI 1003172594

NPI Information

MOUNT OLIVET ROLLING ACRES, INC is a psychiatric/mental health and adult clinical nurse specialist in Bloomington, MN. MOUNT OLIVET ROLLING ACRES, INC NPI is 1003172594. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1603 W OLD SHAKOPEE RD
BLOOMINGTON, MN
ZIP 55431-065
Phone: (952) 401-4868

The provider's authorized official is Kari Dose .
The authorized official title is Office Manager and has the following contact phone number (952) 401-4843.

The enumeration date for this NPI number is 4/9/2012 and was last updated on 8/1/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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