Organization
BABY'S ON BROADWAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADELLE CHISHOLM (OWNER)
(612) 296-0883
Entity
Organization
Contact information
Practice address
47 E BROADWAY, LITTLE FALLS, MN 56345-3046
(320) 639-2229
Mailing address
47 E BROADWAY, LITTLE FALLS, MN 56345-3046
(320) 639-2229
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Enumeration date
10/19/2018
Last updated
06/16/2020
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