SearchMinnesotaLodging Provider

Jeremy Hover

NPI 1104533413 · on the registry since 2022 · sole proprietor

Practice

Address
3805 Washington Ave N
Minneapolis, MN 55412
Phone
(612) 248-3000
Organisation at this address
Ethos Recovery Clinic, Inc.
Restoration Lab Services Llc
Medical Addiction Treatment Clinic
Inferred from a shared address, not stated in the registry.
Clinicians at this address
4

Registry record

Primary taxonomy
Lodging Provider
177F00000X
Also registered as
Lodging Provider
Lodging Provider
Lodging Provider
Lodging Provider
Lodging Provider
Lodging Provider
Lodging Provider
Licence states on file
MN
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-01-19

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota