Organization
PINE COUNTY HUMAN SERVICES
Active
Other names
Pine County Health & Human Services
Organization subpart
No
Provider details
NPI number
Authorized official
RUSS BARON (FISCAL SUPERVISOR)
(320) 216-4108
Entity
Organization
Contact information
Practice address
130 ORIOLE ST E, SUITE 1, SANDSTONE, MN 55072-5156
(320) 216-4100
(320) 216-4101
Mailing address
130 ORIOLE ST E, SUITE 1, SANDSTONE, MN 55072-5156
(320) 216-4100
(320) 216-4101
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A000058200
—
MN
Enumeration date
09/22/2009
Last updated
09/22/2009
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