Organization
TREE MOIRE LLC.
Active
Other names
Tree Moire
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY S POWELL ADC-T, CPRS (PRESIDENT)
(763) 290-2736
Entity
Organization
Contact information
Practice address
705 N 42ND AVE.., SUITE# 002, MPLS, MN 55412-5541
(763) 290-2736
(612) 605-0139
Mailing address
705 N 42ND AVE.., SUITE# 002, MPLS, MN 55412
(763) 290-2736
(612) 605-0139
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
251B00000X
Case Management Agency
—
—
Other
Enumeration date
11/06/2024
Last updated
11/06/2024
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