Organization
AUTUMN ADULT FOSTER CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANIS AROLA (OWNER)
(218) 741-2401
Entity
Organization
Contact information
Practice address
9214 HEINO RD, ANGORA, MN 55703
(218) 741-2401
Mailing address
9214 HEINO RD, ANGORA, MN 55703
(218) 741-2401
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
372600000X
Adult Companion
—
—
Other
Enumeration date
12/26/2007
Last updated
08/12/2008
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