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NPI Provider: 1134125644
Contact Name: Penk C Larry
Position: Administrator
Phone: (218) 384-8411
Inter-faith Care Center Information:
Inter-faith Care Center organization have npi 1134125644, taxonomy code is 314000000X with license number is 328756 in . This Business address located in 811 3rd St, Carlton, MN 55718 Minnesota. Get directions of Inter-faith Care Center.
Practice Location
Address: 811 3rd St, Carlton, MN 55718
Phone: (218) 384-4258
Business Location
Address: 811 3rd St, Carlton, MN 55718
Phone: (218) 384-4258
Fax: (218) 384-9820
Taxonomy
Taxonomy Code: 314000000X
License Number: 328756
License Number of State: MN
Primary Taxonomy Switch: Y
Enumeration Date: 6/21/2005
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