Organization
SENIOR CLASS CARE OF PEQUOT LAKES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA S FEHN (PRESIDENT)
(218) 232-1036
Entity
Organization
Contact information
Practice address
8898 SCHALLER ROAD, PEQUOT LAKES, MN 56472
(218) 543-1035
(218) 543-1035
Mailing address
8898 SCHALLER ROAD, PO BOX 410, PEQUOT LAKES, MN 56472
(218) 232-1036
(218) 543-1035
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
310400000X
Assisted Living Facility
—
MN
Other
Enumeration date
05/04/2015
Last updated
03/04/2019
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