Organization
MAC-CON PROPERTIES INC.
Active
Other names
Country Lane Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACLYN ANNE LANGNER (PROGRAM DIRECTOR)
(320) 360-3815
Entity
Organization
Contact information
Practice address
1022 POPLAR DR, EAST GULL LAKE, MN 56401-3091
(218) 825-0071
Mailing address
1022 POPLAR DR, EAST GULL LAKE, MN 56401-3091
(218) 825-0071
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
1045322-1-AFC
MN
Other
Enumeration date
03/27/2007
Last updated
08/13/2008
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