Organization
TRACI'S PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACI LEA FLETCHER (PRESIDENT)
(651) 295-8659
Entity
Organization
Contact information
Practice address
61816 BANNING LINE RD, ASKOV, MN 55704-4288
(651) 295-8659
Mailing address
61816 BANNING LINE RD, ASKOV, MN 55704-4288
(651) 295-8659
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1053045-1-WS
MN
Other
Enumeration date
06/22/2009
Last updated
06/22/2009
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