| Mesabacare Llc | |
|
405 W 3rd Ave N Aurora MN 55705-1247 | |
| (218) 290-7301 | |
| Not Available |
| Full Name | Mesabacare Llc |
|---|---|
| Speciality | Counselor - School |
| Location | 405 W 3rd Ave N, Aurora, Minnesota |
| Authorized Official Name and Position | Chad Samuel Scott (OWNER/COUNSELOR) |
| Authorized Official Contact | 2182907301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mesabacare Llc 315 Brandon Rd Hoyt Lakes MN 55750-1203 Ph: (218) 290-7301 | Mesabacare Llc 405 W 3rd Ave N Aurora MN 55705-1247 Ph: (218) 290-7301 |
| NPI Number | 1447817978 |
|---|---|
| Provider Enumeration Date | 05/21/2019 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447817978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YS0200X | Counselor - School | (* (Not Available)) | Primary |
Ewing Therapy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5388 Road 37, Aurora, MN 55705 Phone: 218-391-9138 |