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SOJOURN ADULT DAY SERVICES LLC NPI 1255736930


NPI Information

NPI: 1255736930
Provider Name: SOJOURN ADULT DAY SERVICES LLC
Classification: Clinic/Center - 261QA0600X
Entity Type: Organization

Specialization: Adult Day Care

Address:
5200 MAYWOOD RD
MOUND, MN
ZIP 55364
Phone: (952) 471-6080
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SOJOURN ADULT DAY SERVICES LLC is an adult day care clinic center in Mound, MN. SOJOURN ADULT DAY SERVICES LLC NPI is 1255736930. The provider is registered as an organization entity type.

The provider's business location address is:

5200 MAYWOOD RD
MOUND, MN
ZIP 55364-775
Phone: (952) 471-6080

The provider's authorized official is Thomas Hance Penn .
The authorized official title is Owner/partner and has the following contact phone number (612) 590-9250.

The enumeration date for this NPI number is 10/24/2014 and was last updated on 10/24/2014.


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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA0600XClinic/CenterAdult Day Care802258-5-ADCMINNESOTAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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