Organization
THE WORK CONNECTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARIE LYNN RAITER (PAYROLL DIRECTOR)
(651) 251-7810
Entity
Organization
Contact information
Practice address
979 ARCADE ST, SAINT PAUL, MN 55106-3229
(651) 251-7810
(651) 774-9690
Mailing address
979 ARCADE ST, SAINT PAUL, MN 55106-3229
(651) 251-7810
(651) 774-9690
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
630033200
THIRD PARTY WAVIER
MN
Enumeration date
05/15/2008
Last updated
05/15/2008
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