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Organization
GPH BELTRAMI INC
Active
Organization
GPH BELTRAMI INC
Active
Other names
GoldPine Home
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN R HOLLOWAY (PRESIDENT/OWNER)
(218) 444-4346
Entity
Organization
Contact information
Practice address
1700 30TH ST NW, BEMIDJI, MN 56601-5608
(218) 444-4346
(218) 444-4083
Mailing address
1700 30TH ST NW, BEMIDJI, MN 56601-5608
(218) 444-4346
(218) 444-4083
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
MN
Other
Enumeration date
12/26/2012
Last updated
12/26/2012
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