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PROVENANCE HOMES 1, LLC
Assisted Living Facility
NPI: 1356191928Organization
Specialties, Licenses & Credentials
Contact & Hours
- Address
- 3641 28TH AVE S UNIT 1
MINNEAPOLIS, MN 55406 - Phone
- (612) 940-2104
Quick Facts
- NPI
- 1356191928
- Entity Type
- Organization
- Medicare
- Not confirmed
- Specialties
- 1
- Locations
- 1
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