Organization
MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES
Active
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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