Organization
BREATH OF LIFE ADULT DAY SVC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SCARLETT GRACE LANGENFELD (EXECUTIVE DIRECTOR)
(218) 822-3296
Entity
Organization
Contact information
Practice address
200 BUFFALO HILLS LN, BRAINERD, MN 56401-4555
(218) 822-3296
(218) 454-0413
Mailing address
200 BUFFALO HILLS LN, BRAINERD, MN 56401-4555
(218) 822-3296
(218) 454-0413
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
05/21/2019
Last updated
02/01/2023
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