Organization
INDEPENDENCE PLUS INCORPORATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLEN ALAN BARANSKI (BILLING SPECIALIST)
(218) 281-3506
Entity
Organization
Contact information
Practice address
27885 170TH AVE SW, CROOKSTON, MN 56716-9447
(218) 281-3506
(218) 281-3015
Mailing address
27885 170TH AVE SW, CROOKSTON, MN 56716-9447
(218) 281-3506
(218) 281-3015
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
12/28/2006
Last updated
08/22/2020
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