Organization Name: | ALISHA'S CARE CENTER |
NPI Number: | 1518246263 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AMY CLASEMAN (OWNER/BIRTH ASSISTANT) |
Mailing Address: | 12250 County 38 Eagle Bend |
State: | MN US |
Postal Code: | 56446 |
Phone Number: | 3207328162 |
Fax Number: | 3207328162 |
NPI Enumeration Date: | 08/12/2011 |
NPI Last Update Date: | 08/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |