Green Pine Acres

NPI #1699838029 in Menahga, Minnesota

Provider Information

NPI Number: 1699838029
Entity Type: Organization
Organization Name: Green Pine Acres
Primary Specialty: Home Health
Enumeration Date: Dec 18, 2006
Last Updated: Jun 20, 2008

Practice Location

Address: 427 MAIN ST NE
City: Menahga
State: Minnesota
ZIP Code: 56464-8702
Phone: (218) 564-4101

Authorized Official

Name: MR. CLAIR E ERICKSON
Title: ADMINISTRATOR
Phone: (218) 564-4101

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health	251E00000X	Primary

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