Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JARED MATHEW O'MALLEY, OWNER
Active Sole ProprietorJARED MATHEW O'MALLEY, OWNER is a Foster Care Agency healthcare provider located in SAINT CLOUD, Minnesota. NPI 1649985490 is currently active in the NPPES registry. Verify at CMS.
Foster Care Agency · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1649985490
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 17, 2023 (3.6082246258832 yrs)
- Last Updated
- Jan 17, 2023
- License
-
1114406 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3019 18TH ST SSAINT CLOUD, MN, 563014734Browse MN providers · Browse ZIP 56301
- Phone
- 3204292307
- Primary Specialty
-
Foster Care Agency
253J00000X
Other Foster Care Agency Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| MR. PATRICK LEE RUDOLPH | — | 1831492925 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.