Northland Afc,inc

NPI 1093929861 - Day Training, Developmentally Disabled Services - 251C00000X

NPI Details
NPI 1093929861
Enumeration Date 05/10/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK STEPHEN MARK
Position EXECUTIVE DIRECTOR
Phone (218) 879-4248
Fax
Practice Location
1576 WHITE PINE TRAIL
CLOQUET MN, 55720, US
Phone (218) 879-4248
Fax
Business Location
101 W 2ND STREET
SUITE 209
DULUTH MN, 55802, US
Phone (218) 722-2585
Fax (218) 722-1935
Toxanomy
Taxonomy Code 251C00000X
License State Minnesota
License Number 1041000-1-AFC
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According to our database, Northland Afc,inc NPI is 1093929861, taxonomy code is 251C00000X and license number is 1041000-1-AFC, license state is located at Minnesota. Northland Afc,inc physically located at 1576 White Pine Trail, Cloquet MN, 55720. NPI Number 1033115704 has the healthcare provider type.

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1093929861 NPI number is provided on an as is basis without warranty of any kind. 1093929861 is maintained by the National Plan & Provider Enumeration System. The contents of Northland Afc,inc are for informational purposes only.