| Sisu Living Llc | |
|
125 2nd Ave Ne Saint Cloud MN 56304-4000 | |
| (320) 292-0366 | |
| Not Available |
| Full Name | Sisu Living Llc |
|---|---|
| Speciality | Case Management |
| Location | 125 2nd Ave Ne, Saint Cloud, Minnesota |
| Authorized Official Name and Position | Summer A Klenken (OWNER & BUSINESS MANAGER) |
| Authorized Official Contact | 3202920366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sisu Living Llc 2107 Troop Dr Ste 201 Sartell MN 56377-4563 Ph: (320) 292-0366 | Sisu Living Llc 125 2nd Ave Ne Saint Cloud MN 56304-4000 Ph: (320) 292-0366 |
| NPI Number | 1710764105 |
|---|---|
| Provider Enumeration Date | 09/11/2023 |
| Last Update Date | 03/25/2024 |
| Certification Date | 12/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710764105 | NPI | - | NPPES |
| 1730835133 | Other | MN | IN HOME SUPPORTS |
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