Organization
CONNIE LOBERGS ADULT FOSTER CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CONNIE J LOBERG (LICENSED ADULT FOSTER CARE HOME)
(218) 825-8502
Entity
Organization
Contact information
Practice address
13038 EXECUTIVE ACRES RD, BRAINERD, MN 56401-5264
(218) 825-8502
Mailing address
13038 EXECUTIVE ACRES RD, BRAINERD, MN 56401-5264
(218) 825-8502
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
8086862AFC
MN
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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