Provider Demographics
NPI:1710117825
Name:VOLUNTEERS OF AMERICA MINNESOTA
Entity Type:Organization
Organization Name:VOLUNTEERS OF AMERICA MINNESOTA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTS RECEIVABLE SUPERVISOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:LUFELIA
Authorized Official - Middle Name:M
Authorized Official - Last Name:ADDISON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-945-4072
Mailing Address - Street 1:7625 METRO BLVD
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55439-3053
Mailing Address - Country:US
Mailing Address - Phone:952-945-4000
Mailing Address - Fax:
Practice Address - Street 1:7625 METRO BLVD
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55439-3053
Practice Address - Country:US
Practice Address - Phone:952-945-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health