| Organization Name: | MILLE LACS COUNTY PUBLIC HEALTH NURSING SERVICE |
| NPI Number: | 1104827500 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SYLVIA COOK (DIRECTOR) |
| Mailing Address: | 620 Central Ave N Milaca |
| State: | MN US |
| Postal Code: | 563531777 |
| Phone Number: | 3209838318 |
| Fax Number: | 3209838353 |
| NPI Enumeration Date: | 08/09/2005 |
| NPI Last Update Date: | 07/31/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251K00000X |
| License Number: | 548753600 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Public Health or Welfare |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |