Northeast Residence, Inc.
NPI #1770628778 in Little Canada, Minnesota
Provider Information
- NPI Number
- 1770628778
- Entity Type
- Organization
- Organization Name
- Northeast Residence, Inc.
- Primary Specialty
- Respite Care
- Enumeration Date
- Feb 20, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 410 LITTLE CANADA RD E
- City
- Little Canada
- State
- Minnesota
- ZIP Code
- 55117-1629
- Phone
- (651) 765-0217
Authorized Official
- Name
- MRS. CORRINE MAE SCHMIDT
- Title
- ADMINISTRATOR
- Phone
- (651) 765-0217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Respite Care |
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