Organization
MAPLEWOOD HOMES ASSISTED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN ARTHUR WALLGREN (OWNER)
(507) 332-4071
Entity
Organization
Contact information
Practice address
326 7TH ST NW, FARIBAULT, MN 55021-4271
(507) 332-4071
Mailing address
326 7TH ST NW, FARIBAULT, MN 55021-4271
(507) 332-4071
Taxonomy
Speciality
Code
Description
License number
State
103TM1800X
Intellectual & Developmental Disabilities Psychologist
Primary
332188
MN
Other
Enumeration date
12/27/2006
Last updated
08/22/2020
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