institution
Minnesota Indian Primary Residential Treatment Center, Inc.
Lodging Provider in Duluth, Minnesota
NPI 1588732762

Minnesota Indian Primary Residential Treatment Center, Inc. is a Lodging Provider based in Sawyer, MN. Minnesota Indian Primary Residential Treatment Center, Inc. practices in Duluth, MN. The NPI Number for Minnesota Indian Primary Residential Treatment Center, Inc. is 1588732762 and holds a License No. 8025091CDT (Minnesota).

The current practice location address for Minnesota Indian Primary Residential Treatment Center, Inc. is 9302 Idaho Street, Duluth, MN and can be reached out via phone at 218-727-7699 and via fax at 218-727-1476.

Location: 9302 Idaho Street, Duluth, MN, 55780
institution
Provider Profile Details
NPI Number
1588732762
Provider Name
Minnesota Indian Primary Residential Treatment Center, Inc.
Credential
Provider Entity Type
Organization
Address
9302 Idaho Street, Duluth, MN, 55780
Phone Number
218-727-7699
Fax Number
218-727-1476
Provider Enumeration Date
12/04/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
9594TH 01 MN BCBS OF MINNESOTA
786355100 05 MN
institution
Provider Business Practice Location Address Details
Address
9302 Idaho Street
City
State
Zip
55808
Phone Number
218-727-7699
Fax Number
218-727-1476
person
Provider Business Mailing Address Details
Address
9302 Idaho Street
City
State
Zip
55808
Phone Number
218-727-7699
Fax Number
218-727-1476
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Lodging
Speciality
-
Taxonomy
License No.
8025091CDT (Minnesota)
Definition
A public or privately owned facility providing overnight lodging to individuals traveling long distances or receiving prolonged outpatient medical services away from home.
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