NPI 1134588031
White Bear Area Senior Progam Isd 624
Practice location
- Address
- 2484 County Road F E, White Bear Lake, MN 55110-7404
- Phone
- (612) 623-3363
Authorised official
- Name
- Wayne Kazmierczak
- Title
- Director
- Phone
- (612) 623-3363
Registered specialties
Home Delivered Meals
Primary
Registry record
- NPI
- 1134588031
- Entity type
- Organization
- NPI issued
- 19 Feb 2016
- Record last updated
- 19 Feb 2016
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.