Organization
OUR CIRCLE OF FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANN GLENDE (DIRECTOR)
(507) 334-4346
Entity
Organization
Contact information
Practice address
211 MINNESOTA PL, FARIBAULT, MN 55021-5346
(507) 334-4346
Mailing address
211 MINNESOTA PL, FARIBAULT, MN 55021-5346
(507) 334-4346
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
810870-2-WS
MN
Other
Enumeration date
05/21/2008
Last updated
05/21/2008
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