Organization
FERNBROOK FAMILY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANDY YOUNG (BUSINESS MANAGER)
(507) 446-0431
Entity
Organization
Contact information
Practice address
115 LANDMARK DR NE, SUITE 1, OWATONNA, MN 55060-5702
(507) 446-0431
(507) 446-8014
Mailing address
PO BOX 977, OWATONNA, MN 55060-0977
(507) 446-0431
(507) 446-8014
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
021M3FE
BCBS
MN
01
—
167843
UCARE/SCHA
MN
Enumeration date
08/31/2006
Last updated
08/22/2020
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