| Extended Care Solutions Llc | |
|
22530 Forest Ridge Dr Lakeville MN 55044-8046 | |
| (612) 499-9671 | |
| Not Available |
| Full Name | Extended Care Solutions Llc |
|---|---|
| Speciality | Clinic/center |
| Location | 22530 Forest Ridge Dr, Lakeville, Minnesota |
| Authorized Official Name and Position | Santana Juelz Condon (OWNER) |
| Authorized Official Contact | 6124999671 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Extended Care Solutions Llc 22530 Forest Ridge Dr Lakeville MN 55044-8046 Ph: (612) 499-9671 | Extended Care Solutions Llc 22530 Forest Ridge Dr Lakeville MN 55044-8046 Ph: (612) 499-9671 |
| NPI Number | 1225859010 |
|---|---|
| Provider Enumeration Date | 10/23/2024 |
| Last Update Date | 10/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225859010 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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