Organization
KOOCHICHING COUNTY COMMUNITY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBI SIVONEN (ACCOUNTING TECHNICIAN)
(218) 283-7000
Entity
Organization
Contact information
Practice address
1000 5TH ST, INTL FALLS, MN 56649-2243
(218) 283-7000
(218) 283-7013
Mailing address
1000 5TH ST, INTL FALLS, MN 56649-2243
(218) 283-7013
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
5711893
MN
Other
Enumeration date
09/23/2009
Last updated
02/25/2010
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