Organization
GRACELYN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNN P NAUTH (EXECUTIVE DIRECTOR)
(952) 432-5272
Entity
Organization
Contact information
Practice address
16862 INTERLACHEN BLVD., LAKEVILLE, MN 55044-5852
(952) 432-5272
(952) 236-0450
Mailing address
16862 INTERLACHEN BLVD, LAKEVILLE, MN 55044-5852
(952) 432-5272
(952) 236-0450
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
1038810-2-WS
MN
Other
Enumeration date
01/07/2008
Last updated
01/07/2008
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