# MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285910596
- **Authorized official:** ELIZABETH KUOPPALA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (218) 847-1385

## Contact information

- **Practice address:** 1125 W RIVER RD, DETROIT LAKES, MN 56501-2722
- **Practice address phone:** (218) 847-1385
- **Practice address fax:** (218) 847-1388
- **Mailing address:** PO BOX 747, DETROIT LAKES, MN 56502-0747
- **Mailing address phone:** (218) 847-1385
- **Mailing address fax:** (218) 847-1388

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | A246932400 | MN | Yes |

## Other

- **Enumeration date:** 11/01/2011
- **Last updated:** 05/07/2019
