National Provider Identifier Database

MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES
Adult Day Care


Contact Information

MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES
15546 STATE 371 NW
CASS LAKE, MN56633
Phone: 218-339-3167
Fax: 218-335-8080
Website:
Specialty Taxonomy Code
* Adult Day Care 261QA0600X

* Indicates primary specialty

NPI Profile & details for MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES

NPI Number 1679933568
Legal business name
LBN
MINNESOTA CHIPPEWA TRIBE ADULT DAY SERVICES
Authorized official GARY FRAZER - (EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/04/2016
Last updated 03/04/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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