Spirit Lake Head Start
NPI #1093015265 in Fort Totten, North Dakota
Provider Information
- NPI Number
- 1093015265
- Entity Type
- Organization
- Organization Name
- Spirit Lake Head Start
- Primary Specialty
- Nursing Care
- Enumeration Date
- Oct 22, 2010
- Last Updated
- Oct 22, 2010
Practice Location
- Address
- 816 3RD AVE NORTH
- City
- Fort Totten
- State
- North Dakota
- ZIP Code
- 58335
- Phone
- (701) 766-4070
Authorized Official
- Name
- MARIA LANE KOCH, REGISTERED NURSE
- Title
- HEALTH SERVICE COORDINATOR
- Phone
- (701) 766-1370
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
| Nursing Care |
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