Organization
OTTER TAIL COUNTY HUMAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEON ANDERSON (DIRECTOR OF BUSINESS MANAGEMENT)
(218) 998-8158
Entity
Organization
Contact information
Practice address
530 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 998-8150
(218) 998-8213
Mailing address
530 W FIR AVE, FERGUS FALLS, MN 56537-1364
(218) 998-8150
(218) 998-8213
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
MN
347C00000X
Private Vehicle
Primary
—
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A000056600
—
MN
Enumeration date
09/09/2009
Last updated
09/09/2009
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