| NPI | 1912261082 |
|---|---|
| Former Legal Business Name | LAUREL LODGE INC. |
| Entity Type | Organization |
| Authorized Contact | NANCY HELENE STEFAN Bookkeeper Owner 218-566-2088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-03 |