Organization
ELEMENTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME KRUPA (AUTHORIZED AGENT)
(320) 282-8178
Entity
Organization
Contact information
Practice address
305 4TH AVE S, SARTELL, MN 56377-4729
(320) 282-8178
Mailing address
305 4TH AVE S, SARTELL, MN 56377-4729
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/24/2022
Last updated
04/24/2022
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