Provider Demographics
NPI:1912064312
Name:PILLSBURY UNITED COMMUNITIES
Entity Type:Organization
Organization Name:PILLSBURY UNITED COMMUNITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONTRACT ACCOUNTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:LARRY
Authorized Official - Middle Name:VERNE
Authorized Official - Last Name:BROBERG
Authorized Official - Suffix:
Authorized Official - Credentials:BS
Authorized Official - Phone:612-341-1636
Mailing Address - Street 1:414 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-1025
Mailing Address - Country:US
Mailing Address - Phone:612-341-1636
Mailing Address - Fax:612-341-1642
Practice Address - Street 1:1313 PENN AVE N
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55411-3047
Practice Address - Country:US
Practice Address - Phone:612-302-1677
Practice Address - Fax:612-302-4871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare