| Rs Eden | |
|
1025 Portland Ave Minneapolis MN 55404-1449 | |
| (612) 338-0723 | |
| (612) 338-3653 |
| Full Name | Rs Eden |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1025 Portland Ave, Minneapolis, Minnesota |
| Authorized Official Name and Position | Caroline Hood (PRESIDENT) |
| Authorized Official Contact | 6125785044 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rs Eden 1931 W Broadway Ave Suite 101 Minneapolis MN 55411-2400 Ph: (612) 287-1600 | Rs Eden 1025 Portland Ave Minneapolis MN 55404-1449 Ph: (612) 338-0723 |
| NPI Number | 1063590214 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 09/07/2023 |
| Certification Date | 09/07/2023 |
| Medicare PECOS PAC ID | 4183032741 |
|---|---|
| Medicare Enrollment ID | O20210420000989 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063590214 | NPI | - | NPPES |
| 682608300 | Medicaid | MN |
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