Fond Du Lac Reservation Business Committee

NPI #1134426778 in Cloquet, Minnesota

Provider Information

NPI Number
1134426778
Entity Type
Organization
Organization Name
Fond Du Lac Reservation Business Committee
Subpart
Yes (part of a larger organization)
Parent Organization
FOND DU LAC HUMAN SERVICES DIVISION
Primary Specialty
Assisted Living Facility
Enumeration Date
Feb 17, 2011
Last Updated
Mar 22, 2016

Practice Location

Address
1571 AIRPORT ROAD
Address 2
FOND DU LAC ASSISTED LIVING
ZIP Code
55720
Phone
(218) 879-1227

Authorized Official

Name
MRS. MARILYN GROVER
Title
ASSOCIATE DIRECTOR
Phone
(218) 879-1227

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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