Organization
ANGEL ARMS LLC ELAINE NIEHAUS
Active
Organization
ANGEL ARMS LLC ELAINE NIEHAUS
Active
Other names
Angel Arms LLC
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA ANN CAMPAANELLA (ADMINISTRATOR)
(218) 628-1684
Entity
Organization
Contact information
Practice address
1228 10TH AVE N, SAINT CLOUD, MN 56303-2707
(320) 230-0764
Mailing address
829 7TH AVE N, SAINT CLOUD, MN 56303-2905
(320) 230-2472
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
17044193
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10423701AFC
AFC PROVIDER
MN
Enumeration date
12/01/2006
Last updated
08/22/2020
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