Organization · Type 2 NPI

Axis Minnesota, Inc.

Intellectual Disabilities Intermediate Care Facility · Roseville, MN

NPI number 1053475434 Active

Practice location

692 Belmont Ln W
Roseville, MN 55113-6470

Call (651) 774-5940 Map

Fax (651) 774-8126

Mailing address

2345 Rice St, Suite 112
Roseville, MN 55113-3741

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X1030626-1-RS (MN)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1053475434

Axis Minnesota, Inc.'s National Provider Identifier is 1053475434, issued on Dec 20, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Roseville, MN. The record was last updated on Aug 22, 2020.