Organization
CROSSLAKE COMMUNITY SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WANDA LANE (THIRD PARTY ADMINISTRATOR)
(218) 454-5532
Entity
Organization
Contact information
Practice address
35808 COUNTY ROAD 66, CROSSLAKE, MN 56442
(218) 692-5437
(218) 692-5437
Mailing address
804 OAK STREET, CROSSLAKE, MN 56401
(218) 692-5437
(218) 692-5437
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
—
—
Other
Enumeration date
11/08/2011
Last updated
11/12/2020
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