Organization · Type 2 NPI

Lutheran Social Service of Minnesota

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Leroy, MN

NPI number 1073742383 Active

Practice location

198 Penny Lane
Leroy, MN 55951

Mailing address

2485 Como Ave
St. Paul, MN 55108-1445

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000X1054398 (MN)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

About NPI 1073742383

Lutheran Social Service of Minnesota's National Provider Identifier is 1073742383, issued on Jul 8, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Leroy, MN. The record was last updated on Jul 8, 2009.