| Bois Forte Human Services | |
|
13090 Westley Drive Suite B Nett Lake MN 55772 | |
| (218) 757-0111 | |
| (218) 757-0109 |
| Full Name | Bois Forte Human Services |
|---|---|
| Speciality | Social Worker |
| Location | 13090 Westley Drive, Nett Lake, Minnesota |
| Authorized Official Name and Position | Trudy Lynn King (BILLING CLERK) |
| Authorized Official Contact | 2187570111 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bois Forte Human Services 13090 Westley Drive Suite B Nett Lake MN 55772 Ph: (218) 757-0111 | Bois Forte Human Services 13090 Westley Drive Suite B Nett Lake MN 55772 Ph: (218) 757-0111 |
| NPI Number | 1528288073 |
|---|---|
| Provider Enumeration Date | 04/26/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528288073 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (Minnesota) | Primary |
Bois Forte Human Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 13071 Nett Lake Road, Suite B, Nett Lake, MN 55772 Phone: 218-757-3295 Fax: 218-757-0234 |