Individual
REBECCA GROSSKREUTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23673 291ST AVE, AKELEY, MN 56433-8049
(218) 652-3005
(218) 652-6316
Mailing address
23673 291ST AVE, AKELEY, MN 56433-8049
(218) 652-3005
(218) 652-6316
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1079084-1-AFC
MN
Other
Enumeration date
10/02/2015
Last updated
10/02/2015
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