Traverse Care Center

NPI Provider: 1558366146
Contact Name: Rikimoto Chere
Position: Administrator
Phone: (320) 563-8124

Traverse Care Center Information:

Traverse Care Center organization have npi 1558366146, taxonomy code is 314000000X with license number is 669 in . This Business address located in 303 7th St S, Wheaton, MN 56296 Minnesota.

Practice Location
Address: 303 7th St S, Wheaton, MN 56296
Phone: (320) 563-8124

Business Location
Address: 303 7th St S, Wheaton, MN 56296
Phone: (320) 563-8124
Fax: (320) 563-4133

Taxonomy

Taxonomy Code: 314000000X

License Number: 669

License Number of State: MN

Primary Taxonomy Switch: Y

Enumeration Date: 6/20/2005

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