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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRISTOL PLACE CORPORATION

Active Organization

BRISTOL PLACE CORPORATION is a Intellectual Disabilities Residential Treatment Facility organization located in MINNEAPOLIS, Minnesota. NPI 1194818682 is currently active in the NPPES registry. Verify at CMS.

Intellectual Disabilities Residential Treatment Facility · MINNEAPOLIS, MN

Registration Details

NPI Number
1194818682
Provider Type
Organization
NPI Issued
Oct 2, 2006 (19.899144072947 yrs)
Last Updated
Aug 22, 2020
Licenses
803962WS (MN)
8025061RS (MN)
8014812RS (MN)

Practice Information

Address
412 RIDGEWOOD AVE S
MINNEAPOLIS, MN, 554033585
Browse MN providers · Browse ZIP 55403
Phone
6128710805
Fax
6128710455
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.