National Provider Identifier Database

AGE WELL ARROWHEAD INC
Voluntary or Charitable


Contact Information

AGE WELL ARROWHEAD INC.
306 W SUPERIOR ST STE 10
DULUTH, MN55802-5025
Phone: 218-623-7806
Fax: 888-974-6418
Website:
Specialty Taxonomy Code
* Voluntary or Charitable 251V00000X

* Indicates primary specialty

NPI Profile & details for AGE WELL ARROWHEAD INC.

NPI Number 1235764465
Legal business name
LBN
AGE WELL ARROWHEAD INC.
Authorized official MARIANNE BOVEE - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/09/2020
Last updated 03/09/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • MN Medicaid: A630015200

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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