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Organization
LEECH LAKE TRIBAL COUNCIL
Active
Organization
LEECH LAKE TRIBAL COUNCIL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VINCENT ROCK (HEALTH DIRECTOR, HOUSING MANAGER)
(218) 335-4500
Entity
Organization
Contact information
Practice address
115 6TH STREET NE, CASS LAKE, MN 56633-3428
(218) 335-4500
(218) 335-4547
Mailing address
190 SAILSTAR DR NE, CASS LAKE, MN 56633-3565
(218) 335-4500
(218) 335-4547
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
09/11/2019
Last updated
10/21/2020
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