| Nolan's Place Llc | |
|
515 19th Ave Sw Willmar MN 56201-5274 | |
| (320) 403-5247 | |
| (320) 403-5249 |
| Full Name | Nolan's Place Llc |
|---|---|
| Speciality | Behavior Technician |
| Location | 515 19th Ave Sw, Willmar, Minnesota |
| Authorized Official Name and Position | Sallie Graves (OWNER) |
| Authorized Official Contact | 5074011467 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nolan's Place Llc 515 19th Ave Sw Willmar MN 56201-5274 Ph: (320) 403-5247 | Nolan's Place Llc 515 19th Ave Sw Willmar MN 56201-5274 Ph: (320) 403-5247 |
| NPI Number | 1154826469 |
|---|---|
| Provider Enumeration Date | 03/28/2018 |
| Last Update Date | 08/25/2021 |
| Certification Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154826469 | NPI | - | NPPES |
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