Organization
LITTLE SAND GROUP HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE PEPIN (EXECUTIVE DIRECTOR)
(218) 566-2342
Entity
Organization
Contact information
Practice address
5910 LITTLE SAND LN NE, REMER, MN 56672-4423
(218) 566-2342
(218) 566-2341
Mailing address
5910 LITTLE SAND LN NE, REMER, MN 56672-4423
(218) 566-2341
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
801412
MN
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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