National Provider Identifier Database

NEW DIRECTIONS FOR CHANGE
Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)


Contact Information

NEW DIRECTIONS FOR CHANGE
6500 BROOKLYN BLVD - LOWER LEVEL
BROOKLYN CENTER, MN55429
Phone: 612-414-4814
Fax: 952-938-5014
Website:
Specialty Taxonomy Code
* Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X

* Indicates primary specialty

NPI Profile & details for NEW DIRECTIONS FOR CHANGE

NPI Number 1912283334
Legal business name
LBN
NEW DIRECTIONS FOR CHANGE
Authorized official ARLAND FANNING - (TREATMENT DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 10/31/2011
Last updated 10/31/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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