Healthcare Provider Details

I. General information

NPI: 1407484983
Provider Name (Legal Business Name): THE GABLES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/30/2020
Last Update Date: 02/07/2024
Certification Date: 02/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 5TH ST SW
ROCHESTER MN
55902-3256
US

IV. Provider business mailing address

2217 NICOLLET AVE
MINNEAPOLIS MN
55404-3382
US

V. Phone/Fax

Practice location:
  • Phone: 507-225-0820
  • Fax:
Mailing address:
  • Phone: 612-767-0313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: TOM MEIER
Title or Position: CFO
Credential:
Phone: 612-767-0313