| NPI | 1649603432 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONNIE J LOBERG Licensed Adult Foster Care Home 218-825-8502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: MN 8086862AFC) |
| Enumeration Date | 2013-08-15 |
| Last Update Date | 2013-08-15 |