Organization
COUNTRY ACRES FOSTER CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTA M TUPKER (DESIGNATED COORDINATOR)
(320) 983-5730
Entity
Organization
Contact information
Practice address
14490 LYNX RD, MILACA, MN 56353-3019
(320) 983-5730
Mailing address
14490 LYNX RD, MILACA, MN 56353-3019
(320) 983-5730
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/09/2020
Last updated
02/09/2020
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