Organization
LEECH LAKE BAND OF OJIBWE
Active
Organization
LEECH LAKE BAND OF OJIBWE
Active
Other names
LEECH LAKE RESERVATION-HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL BEBEAU (INTERIM DIRECTOR)
(218) 335-4500
Entity
Organization
Contact information
Practice address
120 2ND ST NW, CASS LAKE, MN 56633
(218) 335-4500
(218) 335-4513
Mailing address
115 6TH ST. NW, SUITE E, CASS LAKE, MN 56633
(218) 335-4500
(218) 335-4513
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332U00000X
Home Delivered Meals
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
12/27/2007
Last updated
12/27/2007
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