Organization
MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY STEVEN FRAZER (EXECUTIVE DIRECTOR)
(218) 335-8581
Entity
Organization
Contact information
Practice address
15546 STATE 371 NW, CASS LAKE, MN 56633
(218) 339-3167
(218) 335-8080
Mailing address
P.O. BOX 217, 15542 STATE 371 NW, CASS LAKE, MN 56633
(218) 335-8586
(218) 335-8080
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
MN
Other
Enumeration date
03/04/2016
Last updated
03/04/2016
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