Red Lake Homeless Shelter Inc.

NPI #1063030419 in Red Lake, Minnesota

Provider Information

NPI Number: 1063030419
Entity Type: Organization
Organization Name: Red Lake Homeless Shelter Inc.
Subpart: Yes (part of a larger organization)
Parent Organization: RED LAKE BAND OF CHIPPEWA INDIANS
Primary Specialty: Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy
Enumeration Date: Jul 13, 2020
Last Updated: Jul 13, 2020

Practice Location

Address: 15855 MAIN AVE
City: Red Lake
State: Minnesota
ZIP Code: 56671
Phone: (218) 679-3228

Authorized Official

Name: JORDAN MAY
Title: EXECUTIVE DIRECTOR
Phone: (218) 679-3228

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Indian Health Service/Tribal/Urban Indian Health (I/T/U) Pharmacy	332800000X	Primary

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