Organization Name: | RAINY LAKE NATURAL HEALTHCARE, INC. |
NPI Number: | 1962892778 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBERT ALAN SCHOLLER (PRESIDENT) |
Mailing Address: | 800 3rd St International Falls |
State: | MN US |
Postal Code: | 566492207 |
Phone Number: | 2183243297 |
Fax Number: | |
NPI Enumeration Date: | 01/31/2015 |
NPI Last Update Date: | 01/31/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | ND 100194 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |