Healthcare Provider Details

I. General information

NPI: 1528226370
Provider Name (Legal Business Name): VOLUNTEERS OF AMERICA OF MINNESOTA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/29/2008
Last Update Date: 03/06/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10300 FLANDERS ST NE
BLAINE MN
55449-5710
US

IV. Provider business mailing address

7625 METRO BLVD SUITE 200
MINNEAPOLIS MN
55439
US

V. Phone/Fax

Practice location:
  • Phone: 763-252-4541
  • Fax: 888-972-4523
Mailing address:
  • Phone: 952-945-4062
  • Fax: 888-972-4523

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License Number1049979-3-CRF
License Number StateMN

VIII. Authorized Official

Name: DEB STEINKE
Title or Position: VICE PRESIDENT AND CHIEF FINANCIAL
Credential:
Phone: 952-945-4041