Organization
COUNTRY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHERINE MCKIE M ED (PRESIDENT COUNTRY SERVICES INC)
(763) 263-7207
Entity
Organization
Contact information
Practice address
641 PARK AVE E, BIG LAKE, MN 55309
(763) 263-7207
(763) 263-7464
Mailing address
641 PARK AVE EAST, BIG LAKE, MN 55309
(763) 263-7207
(763) 263-7464
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
01/28/2008
Last updated
01/30/2008
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