SOUTHSIDE LIFE CARE CENTER NPI 1982879771

NPI Information

NPI: 1982879771
Provider Name: SOUTHSIDE LIFE CARE CENTER
Classification: Voluntary or Charitable - 251V00000X
Entity Type: Organization
Address:
4105 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55407
Phone: (612) 823-0301
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SOUTHSIDE LIFE CARE CENTER is a voluntary or charitable in Minneapolis, MN. SOUTHSIDE LIFE CARE CENTER NPI is 1982879771. The provider is registered as an organization entity type.

The provider's business location address is:

4105 CHICAGO AVE
MINNEAPOLIS, MN
ZIP 55407-144
Phone: (612) 823-0301
Fax: (612) 823-0775

The provider's authorized official is Kimberly Rynders .
The authorized official title is Executive Director and has the following contact phone number (612) 823-0301.

The enumeration date for this NPI number is 4/23/2008 and was last updated on 4/23/2008.

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
1	251V00000X	Voluntary or Charitable				Yes

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: 4/28/2024

NPI Synchronization or Removal

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