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Organization

NORTHWOODS INTERFAITH VOLUNTEER CAREGIVERS PROGRAM

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CINDI LEE JERNIGAN (EXECUTIVE DIRECTOR)
(218) 333-8264
Entity
Organization

Contact information

Practice address
616 AMERICA AVE NW STE 110, BEMIDJI, MN 56601-3853
(218) 333-8264
(218) 333-8263
Mailing address
616 AMERICA AVE NW STE 110, BEMIDJI, MN 56601-3853
(218) 333-8264
(218) 333-8263

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
383337
MN
385H00000X
Respite Care
1067364-1-HCBS
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1528450350
MN
05
A246082300
MN
Enumeration date
03/03/2015
Last updated
10/24/2024
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