Tibli Olandrus Dickson, MANAGER
Nursing Home Administrator · Champlin, MN
Practice location
7400 122ND Ave NChamplin, MN 55316-2127
- Phone
- (612) 865-6220
NPI record
- NPI
- 1003615030
- Entity type
- Individual (Type 1)
- Enumeration date
- March 11, 2025
- Last updated
- March 11, 2025
- Certified
- March 11, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nursing Home Administrator Primary | 376G00000X |
— | — |
About Tibli Dickson
Tibli Olandrus Dickson, MANAGER is a healthcare provider registered in the NPI registry with the primary taxonomy Nursing Home Administrator (code 376G00000X). The practice location is 7400 122ND Ave N, Champlin, MN 55316-2127. The NPI number 1003615030 was assigned on March 11, 2025 and the record was last updated on March 11, 2025.
Frequently asked questions
What is the NPI number of Tibli Olandrus Dickson, MANAGER?
The NPI number is 1003615030.
What is the phone number of Tibli Dickson?
The phone number listed for the practice location is (612) 865-6220.
Where is Tibli Dickson located?
7400 122ND Ave N, Champlin, MN 55316-2127.
What is the taxonomy code for Tibli Dickson?
The primary taxonomy code is 376G00000X – Nursing Home Administrator.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.