NPI | 1558435131 |
---|---|
Doing Business As | GRAND ITASCA CLINIC & HOSPITAL HC |
Entity Type | Organization |
Authorized Contact | KATIE TROUMBLY Supervisor 218-999-1047 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251E00000X Home Health |
Enumeration Date | 2006-11-17 |
Last Update Date | 2017-09-18 |