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Organization

OPEN HARBORS INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARGERY ANN VETSCH-PETERSON RN (PRESIDENT)
(763) 389-5412
Entity
Organization

Contact information

Practice address
28347 112TH ST NW, ZIMMERMAN, MN 55398-4307
(763) 389-5412
Mailing address
28347 112TH ST NW, ZIMMERMAN, MN 55398-4307
(763) 389-5412

Taxonomy

Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
10413503AFC
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PENDING
MN
Enumeration date
01/07/2008
Last updated
01/07/2008
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