| NPI | 1770628778 |
|---|---|
| Other Name | NORTHEAST RESIDENCE, INC. RESPITE |
| Entity Type | Organization |
| Authorized Contact | CORRINE MAE SCHMIDT Administrator 651-765-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385H00000X Respite Care (Licence: MN 801750) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2020-08-22 |