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Organization

SEASONS ADULT FOSTER CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTOPHER LOYAL CRAFT (HUMAN RESOURCES)
(218) 838-6757
Entity
Organization

Contact information

Practice address
310 WISCONSON AVE SE, STAPLES, MN 56479
(218) 894-1188
(218) 894-0012
Mailing address
40195 PARADISE DR, BROWERVILLE, MN 56438-5016
(218) 894-1188

Taxonomy

Speciality
Code
Description
License number
State
310500000X
Mental Illness Intermediate Care Facility
Primary
1049478-1-AFC
MN

Other

Enumeration date
12/19/2007
Last updated
12/19/2007
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