NPI | 1720458300 |
---|---|
Doing Business As | THE MICAH HOUSE |
Entity Type | Organization |
Authorized Contact | WILLIAM LOCKETT CEO 612-314-2460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X (Licence: MN 1069387) |
Enumeration Date | 2015-09-25 |
Last Update Date | 2015-09-25 |