White Bear Area Senior Progam Isd 624
NPI #1134588031 in White Bear Lake, Minnesota
Provider Information
- NPI Number
- 1134588031
- Entity Type
- Organization
- Organization Name
- White Bear Area Senior Progam Isd 624
- Primary Specialty
- Home Delivered Meals
- Enumeration Date
- Feb 19, 2016
- Last Updated
- Feb 19, 2016
Practice Location
- Address
- 2484 COUNTY ROAD F E
- City
- White Bear Lake
- State
- Minnesota
- ZIP Code
- 55110-7404
- Phone
- (612) 623-3363
Authorized Official
- Name
- WAYNE KAZMIERCZAK
- Title
- DIRECTOR
- Phone
- (612) 623-3363
Specialties & Taxonomy Codes
| Specialty |
|---|
| Home Delivered Meals |
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