Organization
NORTHLAND AFC,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK NASH (EXECUTIVE DIRECTOR)
(218) 722-2585
Entity
Organization
Contact information
Practice address
1125 3RD AVE, PROCTOR, MN 55810-2804
(218) 722-2585
Mailing address
101 W 2ND ST, SUITE 209, DULUTH, MN 55802-2086
(218) 722-2585
(218) 722-1935
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1036988-1-WS
MN
Other
Enumeration date
09/10/2007
Last updated
09/10/2007
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