Organization
NORTHERN ITASCA HOSPITAL DISTRICT
Active
Other names
Bigfork Valley Adult Day Stay Services Program
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HAROLD DANIEL ODEGAARD (CEO)
(218) 743-3177
Entity
Organization
Contact information
Practice address
258 PINE TREE DRIVE, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Mailing address
258 PINE TREE DRIVE, P.O. BOX 258, BIGFORK, MN 56628
(218) 743-3177
(218) 743-3559
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
804975-2-ADC
MN
Other
Enumeration date
06/16/2006
Last updated
08/22/2020
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