Organization
JDCI EQUITIES
Active
Other names
Resurrection Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHAD JELLUM (ADMINISTRATOR/PRESIDENT)
(612) 940-5831
Entity
Organization
Contact information
Practice address
507 9TH AVE SE, WASECA, MN 56093-3517
(507) 837-2033
(507) 698-0100
Mailing address
507 9TH AVE SE, WASECA, MN 56093-3517
(507) 837-2033
(507) 698-0100
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
303163
MN
Other
Enumeration date
08/01/2016
Last updated
08/01/2016
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