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GRATTAN HEALTH CARE INCORPORATED

Nursing Service Providers Registered Nurse Administrator

Provider NPI: 1093810244

Organization Information:
Organization Name:  GRATTAN HEALTH CARE INCORPORATED
Authorized Official:  STACI JO GRATTAN  PRESIDENT  218-820-1326

Practice Location:
5710 COUNTY ROAD 121  FORT RIPLEY, MN 56449-1486 US
Tel: 218-820-1326  Fax: 218-825-0144

Business Mailing Address:
5710 COUNTY ROAD 121  FORT RIPLEY, MN 56449-1486 US
Tel: 218-820-1326  Fax: 218-825-0144

NPI Information:
NPI: 1093810244
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
X163WA2000XNursing Service Providers
Registered Nurse
Administrator
MN
X372500000XNursing Service Related Providers
Chore Provider
MN
X3747P1801XNursing Service Related Providers
Technician
MN
X376J00000XNursing Service Related Providers
Homemaker
MN

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIEL51M51GRMN01
UCARE MINNESOTA164464MN01




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