Organization
MAHUBE-OTWA COMMUNITY ACTION PARTNERSHIP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH KUOPPALA (EXECUTIVE DIRECTOR)
(218) 847-1385
Entity
Organization
Contact information
Practice address
1125 W RIVER RD, DETROIT LAKES, MN 56501-2722
(218) 847-1385
(218) 847-1388
Mailing address
PO BOX 747, DETROIT LAKES, MN 56502-0747
(218) 847-1385
(218) 847-1388
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
A246932400
MN
Other
Enumeration date
11/01/2011
Last updated
05/07/2019
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