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Organization

BOIS FORTE RESERVATION TRIBAL COUNCIL

Active
Parent organization
BOIS FORTE RESERVATION TRIBAL COUNCIL
Other names
Big Woods Transit
Organization subpart
Yes

Provider details

NPI number
Legal business name
BOIS FORTE RESERVATION TRIBAL COUNCIL
Authorized official
LYNETTE TAHTINEN CPCS (BUSINESS MANAGER)
(218) 757-3650
Entity
Organization

Contact information

Practice address
5344 LAKE SHORE DR, NETT LAKE, MN 55772-1200
(218) 757-3261
Mailing address
5344 LAKE SHORE DR, NETT LAKE, MN 55772-1200
(218) 757-3261

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary

Other

Enumeration date
09/25/2018
Last updated
09/25/2018
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