Provider Demographics
NPI:1326715335
Name:CHECLSEA INSKEEP
Entity Type:Organization
Organization Name:CHECLSEA INSKEEP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COMPLIANCE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:
Authorized Official - Last Name:INSKEEP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-208-2304
Mailing Address - Street 1:17257 JOY CT
Mailing Address - Street 2:
Mailing Address - City:LAKEVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55044-4011
Mailing Address - Country:US
Mailing Address - Phone:651-208-2304
Mailing Address - Fax:
Practice Address - Street 1:17257 JOY CT
Practice Address - Street 2:
Practice Address - City:LAKEVILLE
Practice Address - State:MN
Practice Address - Zip Code:55044-4011
Practice Address - Country:US
Practice Address - Phone:651-208-2304
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency