Organization
LUTHERAN SOCIAL SERVICE OF MINNESOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIGID PETERSON (CHIEF COMPLIANCE OFFICER)
(800) 582-5260
Entity
Organization
Contact information
Practice address
211 HOLMES ST W, DETROIT LAKES, MN 56501-3023
(218) 847-0629
(218) 846-1285
Mailing address
2485 COMO AVE, SAINT PAUL, MN 55108-1445
(800) 582-5260
(651) 969-2350
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
08/23/2007
Last updated
02/23/2017
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