GRANT DAVIS MITCHELL

FALCON HEIGHTS, MN
NPI1649721895
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy273Y00000X Rehabilitation Unit
(Licence:   105222)
Enumeration Date2016-10-21
Last Update Date2016-10-21
Business Address
-- GRANT DAVIS MITCHELL MOTR/L
1412 IOWA AVE W
FALCON HEIGHTS, MN 55108-2124
Phone number: 218-407-0820
Mailing Address
-- GRANT DAVIS MITCHELL MOTR/L
1412 IOWA AVE W
FALCON HEIGHTS, MN 55108-2124
Phone number: 218-407-0820