Organization
HUBBARD COUNTY DEVELOPMENTAL ACHIEVEMENT CENTER
Active
Other names
Headwaters Adult Day Services
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KATHERINE JOHNSON (EXECUTIVE DIRECTOR)
(218) 237-8518
Entity
Organization
Contact information
Practice address
1009 HOLLINGER ST, PARK RAPIDS, MN 56470-1300
(218) 366-3031
Mailing address
PO BOX 86, PARK RAPIDS, MN 56470-0086
(218) 237-8518
(218) 237-8519
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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