NPI | 1104042266 |
---|---|
Doing Business As | SPIRIT LAKE HEALTHY START |
Entity Type | Organization |
Authorized Contact | SUNNY COLMBE CFO 605-721-1922 |
Organization Subpart ? | No |
Primary Taxonomy | 251B00000X Case Management |
Additional Taxonomies | 343900000X Non-emergency Medical Transport (VAN) |
Enumeration Date | 2007-04-17 |
Last Update Date | 2013-03-01 |