Healthcare Provider Details

I. General information

NPI: 1083427926
Provider Name (Legal Business Name): C & H SERVICES MN L.L.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

559 ELFELT ST
SAINT PAUL MN
55103-2001
US

IV. Provider business mailing address

570 ASBURY ST STE 107
SAINT PAUL MN
55104-1852
US

V. Phone/Fax

Practice location:
  • Phone: 651-219-4206
  • Fax:
Mailing address:
  • Phone: 651-756-7545
  • Fax: 651-797-3499

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE CLAIBORNE
Title or Position: OWNER
Credential:
Phone: 651-756-7545