| Rem Minnesota Community Services, Inc. | |
|
15025 Glazier Ave Ste 246 Apple Valley MN 55124-6188 | |
| (952) 852-9590 | |
| Not Available |
| Full Name | Rem Minnesota Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 15025 Glazier Ave Ste 246, Apple Valley, Minnesota |
| Authorized Official Name and Position | Brett Ian Cohen (COO) |
| Authorized Official Contact | 8003885150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rem Minnesota Community Services, Inc. 6600 France Ave S Edina MN 55435-1805 Ph: (952) 922-6776 | Rem Minnesota Community Services, Inc. 15025 Glazier Ave Ste 246 Apple Valley MN 55124-6188 Ph: (952) 852-9590 |
| NPI Number | 1811179922 |
|---|---|
| Provider Enumeration Date | 11/30/2007 |
| Last Update Date | 03/05/2023 |
| Certification Date | 03/05/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811179922 | NPI | - | NPPES |
| 749407600 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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