Organization
FREEPORT WEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAMONA WILSON (EXECUTIVE DIRECTOR)
(612) 252-2701
Entity
Organization
Contact information
Practice address
2219 OAKLAND AVE, MINNEAPOLIS, MN 55404-3749
(612) 252-2701
(612) 824-0379
Mailing address
2219 OAKLAND AVE, MINNEAPOLIS, MN 55404-3749
(612) 252-2701
(612) 824-0379
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
7602123
MN
Other
Enumeration date
01/26/2008
Last updated
01/26/2008
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