Organization
LAKE COUNTRY LIVING SERVICES LLC
Active
Other names
Lake Country Supported Living Services
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE BURDICK (OWNER, CEO)
(218) 242-2498
Entity
Organization
Contact information
Practice address
181 LITTLE ROCK RD NW, RICE, MN 56367-8685
(218) 242-2498
Mailing address
181 LITTLE ROCK RD NW, RICE, MN 56367-8685
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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