Provider Demographics
NPI:1790406320
Name:DIVISION OF INDIAN WORK
Entity Type:Organization
Organization Name:DIVISION OF INDIAN WORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCE/ADMIN MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MONIQUE
Authorized Official - Middle Name:M
Authorized Official - Last Name:MORRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:612-279-6355
Mailing Address - Street 1:1001 E LAKE ST
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-1616
Mailing Address - Country:US
Mailing Address - Phone:612-279-6355
Mailing Address - Fax:
Practice Address - Street 1:1001 E LAKE ST
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55407-1616
Practice Address - Country:US
Practice Address - Phone:612-279-6355
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management