Organization
DEFINE SUPPORTS PROFESSIONAL ORGANIZATION
Active
Other names
Define Supports
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA BALAMUT (FOUNDER)
(218) 310-3516
Entity
Organization
Contact information
Practice address
18830 ENGLISH AVE, FARMINGTON, MN 55024-8962
(218) 310-3516
Mailing address
18830 ENGLISH AVE, FARMINGTON, MN 55024-8962
(218) 310-3516
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
Other
Enumeration date
08/15/2017
Last updated
07/21/2022
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