Age Well Arrowhead Inc.
Organization Active NPI Voluntary or Charitable Agency · Duluth, MN
NPI 1235764465 · NPPES record last updated Mar 9, 2020
Key facts
- NPI
- 1235764465
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Voluntary or Charitable Agency 251V00000X
- Legal business name
- AGE WELL ARROWHEAD INC.
- Practice address
- 306 W Superior St Ste 10
Duluth, MN 55802-5025 - Phone
- (218) 623-7806
- Fax
- (888) 974-6418
- NPI assigned
- Mar 9, 2020
- Organization subpart
- No
Authorized official
- Name
- Marianne Bovee
- Title
- Executive Director
- Phone
- (218) 623-7806
National Provider Directory
Locations
306 W Superior St
Ste 10
Duluth, MN 55802
Phone (218) 623-7806
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Voluntary or Charitable Agency | 251V00000X | Yes |
Addresses
Primary practice location
306 W Superior St Ste 10
Duluth, MN 55802-5025
Mailing address
306 W Superior St Ste 10
Duluth, MN 55802-5025
Phone (218) 623-7806
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A630015200 | Medicaid | MN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | www.agewellarrohead.org |
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.