| Cenacle Care Services Llc | |
|
6632 91st St S Cottage Grove MN 55016-5305 | |
| (515) 203-9958 | |
| Not Available |
| Full Name | Cenacle Care Services Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 6632 91st St S, Cottage Grove, Minnesota |
| Authorized Official Name and Position | Paul Tentow (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 5152039958 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cenacle Care Services Llc 6632 91st St S Cottage Grove MN 55016-5305 Ph: () - | Cenacle Care Services Llc 6632 91st St S Cottage Grove MN 55016-5305 Ph: (515) 203-9958 |
| NPI Number | 1932955770 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 06/23/2024 |
| Certification Date | 06/23/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932955770 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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