Kelly Rae Martin
Kelly Rae Martin is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Miltona, Minnesota. Practices as a sole proprietor. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
13881 Schuelke Beach Rd NWMiltona, MN 56354
Phone: (218) 639-1843
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1477117885 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2019 |
| Last updated in NPPES | May 1, 2019 |