Organization
AGE WELL ARROWHEAD INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANNE BOVEE (EXECUTIVE DIRECTOR)
(218) 623-7806
Entity
Organization
Contact information
Practice address
306 W SUPERIOR ST STE 10, DULUTH, MN 55802-5025
(218) 623-7806
(888) 974-6418
Mailing address
306 W SUPERIOR ST STE 10, DULUTH, MN 55802-5025
(218) 623-7806
(888) 974-6418
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A630015200
—
MN
Enumeration date
03/09/2020
Last updated
03/09/2020
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