Heartland Health LLC
Community/Behavioral Health in Edina, MN. Organization (NPI-2).
NPI number1043465321
StatusActive
Last updated in NPPESNov 30, 2008
Details
- NPI
- 1043465321
- Entity type
- Organization (NPI-2)
- Legal business name
- Heartland Health LLC
- Organization subpart
- No
- Enumeration date
- Nov 30, 2008
- Last updated
- Nov 30, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | LP0620 | MN | Yes |
Practice location
6950 France Ave S Ste 14Edina, MN 55435-2016
Phone 952-922-9056
Mailing address
15552 Dynasty WayApple Valley, MN 55124-7836
Phone 952-922-9056
Authorized official
Craig Lyle Polsfuss
Ceo
9529229056
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All 27 Community/Behavioral Health Agency providers in Edina · All 4,659 providers in Edina
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