Organization
PRESBYTERIAN FAMILY FOUNDATION
Active
Other names
Atwater House
Organization subpart
No
Provider details
NPI number
Authorized official
CATHERINE JOHNSON (ADMINISTRATOR)
(320) 235-5897
Entity
Organization
Contact information
Practice address
110 5TH ST N, ATWATER, MN 56209
(320) 974-8070
Mailing address
901 HIGHWAY 71 NE, WILLMAR, MN 56201-2654
(320) 235-5897
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
416043600
—
MN
Enumeration date
05/23/2007
Last updated
06/12/2008
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