| NPI | 1538100920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE NELOSN Owner 218-728-2209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: MN 810357) |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2020-08-22 |