Wesmar Of International Falls Mn Llc in International Falls - Rehabilitation, Substance Use Disorder
Wesmar Of International Falls Mn Llc - NPI 1588672034
Wesmar Of International Falls Mn Llc is a Rehabilitation, Substance Use Disorder in International Falls, Minnesota. Wesmar Of International Falls Mn Llc practices all healthcare services and medical treatments related to Rehabilitation, Substance Use Disorder. The NPI Number for Wesmar Of International Falls Mn Llc is 1588672034. The last update date is 2008-06-19.
Wesmar Of International Falls Mn Llc's current location address is Po Box 593, International Falls, Minnesota. You can contact this provider via phone number 2182857029 and fax number 2182857072. The mailing address for Wesmar Of International Falls Mn Llc is Po Box 593, International Falls, Minnesota. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Wesmar Of International Falls Mn Llc |
---|---|
Address | Po Box 593, International Falls, Minnesota |
Phone Number | 2182857029 |
Fax Number | 2182857072 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
---|---|
Authorized Official Name | Butts Wesley |
Credentials | LADC |
Telephone Number | 2182857029 |
NPI Number Detail
NPI Number | 1588672034 |
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Provider Enumeration Date | 2006-08-03 |
Last Updated Date | 2008-06-19 |
Provider Mailing Address Detail
Address | Po Box 593 |
---|---|
City | International Falls |
State | Minnesota (MN) |
Post Code | 566490593 |
Phone Number | 2182857029 |
Fax Number | 2182857072 |
Provider's Primary Taxonomy Detail
Speciality | Rehabilitation, Substance Use Disorder |
---|---|
Taxonomy | 261Qr0405X |
Licence No | 10371421CDT |
Definition: Provides therapeutic interventions to treat alcohol and drug addiction. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
126613600 | MN | -- |
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What is the Wesmar Of International Falls Mn Llc's 1588672034?
The Wesmar Of International Falls Mn Llc's NPI (National Provider Identifier) Number is 1588672034. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wesmar Of International Falls Mn Llc's physical address?
The Wesmar Of International Falls Mn Llc is physically located at Po Box 593, in the city of International Falls, MN, with the postal code 566490593.
What is Wesmar Of International Falls Mn Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Wesmar Of International Falls Mn Llc's area of specialization is Rehabilitation, Substance Use Disorder, and the corresponding taxonomy code that categorizes this field of practice is 261Qr0405X.
When did the Wesmar Of International Falls Mn Llc receive its 1588672034?
The Wesmar Of International Falls Mn Llc was issued its 1588672034 on 2006-08-03, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Wesmar Of International Falls Mn Llc most recently updated or revised?
The information pertaining to Wesmar Of International Falls Mn Llc, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-19.
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