Organization
WHITE EARTH BAND OF CHIPPEWA
Active
Other names
White Earth Elderly Nutrition
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KATHERINE THOMPSON (EDLERLY NURITION COORDINATOR)
(218) 983-3285
Entity
Organization
Contact information
Practice address
26246 CRANE RD, WHITE EARTH, MN 56591-9998
(218) 983-3285
(218) 983-4299
Mailing address
PO BOX 418, 26246 CRANE ROAD, WHITE EARTH, MN 56591-0418
(218) 983-3285
(218) 983-4299
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
293607100
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
293607100
—
MN
Enumeration date
08/07/2006
Last updated
12/16/2021
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