Organization
AUTUMN HILLS OF BEMIDJI, INC.
Active
Other names
Autumn Hills Home Care
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY JEAN CLOOSE RN (PRESIDENT)
(218) 333-3854
Entity
Organization
Contact information
Practice address
2528 PARK AVE NW, BEMIDJI, MN 56601-2432
(218) 333-3854
(218) 333-3855
Mailing address
2528 PARK AVE NW, BEMIDJI, MN 56601-2432
(218) 333-3854
(218) 333-3855
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
358062
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A034943700
UMPI
MN
Enumeration date
10/03/2012
Last updated
10/03/2012
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