Individual
JANET GRULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1117 N MARIEN ST, FERGUS FALLS, MN 56537-1457
(218) 739-4603
Mailing address
1117 N MARIEN ST, FERGUS FALLS, MN 56537-1457
(218) 739-4603
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
1062601-1-AFC
MN
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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