| Organization Name: | MAHUBE COMMUNITY COUNCIL, INC. |
| NPI Number: | 1285910596 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LEAH PIGATTI (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1125 W River Rd Detroit Lakes |
| State: | MN US |
| Postal Code: | 565012722 |
| Phone Number: | 2188471385 |
| Fax Number: | 2188471388 |
| NPI Enumeration Date: | 11/01/2011 |
| NPI Last Update Date: | 11/01/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | A246932400 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MN |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |