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Organization
OTTER TAIL COUNTY HUMAN SERVICES
Active
Organization
OTTER TAIL COUNTY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON ANDERSON (DIRECTOR OF BUSINESS MANAGEMENT)
(218) 998-8158
Entity
Organization
Contact information
Practice address
530 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 998-8150
(218) 998-8213
Mailing address
530 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 998-8150
(218) 998-8213
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MN
347C00000X
Private Vehicle
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A000056600
—
MN
Enumeration date
09/09/2009
Last updated
09/09/2009
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