Organization
MARY'S HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE OLSON (OWNER/DIRECTOR)
(218) 828-8148
Entity
Organization
Contact information
Practice address
609 3RD ST NE, LITTLE FALLS, MN 56345-2409
(320) 632-1988
Mailing address
14601 LYNNDALE DR, BAXTER, MN 56425-6018
(218) 828-8148
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
1054966-1-AFC
MN
Other
Enumeration date
08/28/2009
Last updated
08/28/2009
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