Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Public Health or Welfare |
251K00000X | 60 | Public Health or Welfare Agency |
| NPI # | 1669645644 |
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| LBN Legal business name | LAMOILLE FAMILY CENTER | ||||||||
| Authorized official | DAVID CONNOR - (EXECUTIVE DIRECTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 04/10/2008 | ||||||||
| Last updated | 04/10/2008 - About 18 years ago | ||||||||
| Identifiers |
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