Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Phs Interlude Fridley LLC

Organization Skilled Nursing Facility · NPI 1740697291

Phs Interlude Fridley LLC is a Skilled Nursing Facility in Fridley, Minnesota. Registered with an NPI since 2014.

In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

520 Osborne Rd NE
Fridley, MN 55432-2718
Phone: (763) 230-3131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1740697291
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicole Donahue — Ceo/Administrator · (763) 230-3141
NPI enumeratedJuly 16, 2014
Last updated in NPPESDecember 1, 2017
Mailing address520 Osborne Rd Ne, Fridley, MN 55432-2718

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