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Organization
RED LAKE HOMELESS SHELTER INC.
Active
Organization
RED LAKE HOMELESS SHELTER INC.
Active
Parent organization
RED LAKE BAND OF CHIPPEWA INDIANS
Organization subpart
Yes
Provider details
NPI number
Legal business name
RED LAKE BAND OF CHIPPEWA INDIANS
Authorized official
JORDAN MAY (EXECUTIVE DIRECTOR)
(218) 679-3228
Entity
Organization
Contact information
Practice address
15855 MAIN AVE, RED LAKE, MN 56671
(218) 679-3228
Mailing address
PO BOX 280, REDLAKE, MN 56671-0280
(218) 679-3228
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
332800000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Primary
—
—
Other
Enumeration date
07/13/2020
Last updated
07/13/2020
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