Organization
NORTHWOODS COTTAGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET RENE HAUGEN (EXECUTIVE DIRECTOR)
(218) 694-4000
Entity
Organization
Contact information
Practice address
1101 PATRICIA LN NW, BAGLEY, MN 56621-8143
(218) 694-4000
Mailing address
1101 PATRICIA LN NW, BAGLEY, MN 56621-8143
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
305R00000X
MN
Other
Enumeration date
07/29/2008
Last updated
07/29/2008
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