| Organization Name: | NORTHLAND CARES |
| NPI Number: | 1033213053 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL JOSEPH RUBLE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 136 1/2 Grove Ave Prescott |
| State: | AZ US |
| Postal Code: | 863012905 |
| Phone Number: | 9287764612 |
| Fax Number: | 9287711767 |
| NPI Enumeration Date: | 09/11/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |