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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