Organization
EAST VERNON RESIDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BETH ALISON CLARKSON (PRESIDENT)
(815) 257-0020
Entity
Organization
Contact information
Practice address
218 E VERNON AVE, FERGUS FALLS, MN 56537-2924
(815) 257-0020
Mailing address
218 E VERNON AVE, FERGUS FALLS, MN 56537-2924
(815) 257-0020
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/21/2018
Last updated
09/21/2018
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