# MILLE LACS BAND OF OJIBWE INDIANS

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

## Provider details

- **NPI number:** 1407223035
- **Authorized official:** NICOLE ANDERSON (COMMISSIONER OF HEALTH & HUMAN SERV)
- **Authorized official phone:** (320) 532-4163

## Contact information

- **Practice address:** 18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
- **Practice address phone:** (320) 532-4163
- **Mailing address:** 18562 MINOBIMAADIZI LOOP, ONAMIA, MN 56359-3001
- **Mailing address phone:** (320) 532-4163

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 332U00000X | Home Delivered Meals | — | NULL | — |

## Other

- **Enumeration date:** 08/31/2015
- **Last updated:** 05/03/2023