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Organization
NORTHEAST RESIDENCE, INC.
Active
Organization
NORTHEAST RESIDENCE, INC.
Active
Other names
Northeast Residence, Inc. Respite
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORRINE MAE SCHMIDT (ADMINISTRATOR)
(651) 765-0217
Entity
Organization
Contact information
Practice address
410 LITTLE CANADA RD E, LITTLE CANADA, MN 55117-1629
(651) 765-0217
(651) 765-0212
Mailing address
410 LITTLE CANADA RD E, LITTLE CANADA, MN 55117-1629
(651) 765-0217
(651) 765-0212
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
801750
MN
Other
Enumeration date
02/20/2007
Last updated
08/22/2020
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