Organization Name: | COUNTY OF WASECA |
NPI Number: | 1629168695 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SARAH J BERRY (DIRECTOR) |
Mailing Address: | 299 Johnson Avenue Sw Suite 160 Waseca |
State: | MN US |
Postal Code: | 56093 |
Phone Number: | 5078350685 |
Fax Number: | 5078350687 |
NPI Enumeration Date: | 10/13/2006 |
NPI Last Update Date: | 10/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251K00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MN |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Public Health or Welfare |
Taxonomy Specialization: | |
Taxonomy Definition: |