| Restorations For Life | |
|
5831 74th Ave N Brooklyn Park MN 55443-3109 | |
| (763) 503-3747 | |
| (763) 560-8148 |
| Full Name | Restorations For Life |
|---|---|
| Speciality | Counselor - Professional |
| Location | 5831 74th Ave N, Brooklyn Park, Minnesota |
| Authorized Official Name and Position | Vicki Marie Rocha (OWNER) |
| Authorized Official Contact | 7635033747 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Restorations For Life 5831 74th Ave. N. Brooklyn Park MN 55443 Ph: (763) 503-3747 | Restorations For Life 5831 74th Ave N Brooklyn Park MN 55443-3109 Ph: (763) 503-3747 |
| NPI Number | 1932428067 |
|---|---|
| Provider Enumeration Date | 05/28/2010 |
| Last Update Date | 05/28/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932428067 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPCC00015 (Minnesota) | Primary |
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