NPI | 1063958247 |
---|---|
Other Name | CRAWFORD SENIOR CARE |
Entity Type | Organization |
Authorized Contact | JUDY MAE GUSTAFSON Owner 651-774-9979 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: MN 377579) |
Enumeration Date | 2017-01-12 |
Last Update Date | 2017-01-12 |